Provider Demographics
NPI:1881775526
Name:BURNS, KIMBERLY AYERS (RN, WHNP)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:AYERS
Last Name:BURNS
Suffix:
Gender:F
Credentials:RN, WHNP
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:D
Other - Last Name:AYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,WHNP
Mailing Address - Street 1:PO BOX 4439
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4439
Mailing Address - Country:US
Mailing Address - Phone:713-792-2991
Mailing Address - Fax:
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4000
Practice Address - Country:US
Practice Address - Phone:713-792-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX663300363LW0102X
TXAP112353363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156851103Medicaid
TX8N7034OtherBCBS
TX8B8994Medicare PIN
P87076Medicare UPIN