Look up the most recent NPI and PECOS records

Kimberly Erin Garrett Hall

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1301 W 38th St Ste 705, Austin, TX 78705-1016

PECOS Enrollment

This provider is enrolled in PECOS as KIMBERLY HALL.

Based on the most recent information from CMS, provider Kimberly Erin Garrett Hall is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1578156444
Provider Type
Individual
Full Name
Hall, Kimberly Erin Garrett
Credential
FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
2/11/2021
Last Updated
1/17/2023

Contact Information

Practice Location

1301 W 38th St Ste 705, Austin, TX 78705-1016

(512) 324-7036

Unlisted Fax

Mailing Location

12113 Metric Blvd Apt 1134, Austin, TX 78758-8629

(512) 420-6002

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1029972 Texas

Provider Identifiers

ID	Description	Issuer
ID 1029972	Description Other	Issuer TEXAS BOARD OF NURSING Texas

Kimberly Erin Garrett Hall

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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