Kimberly Dawn Seelke-Hernandez, NNP
Nurse Practitioner, Neonatal, Critical Care in Rockport, TX. Individual provider (NPI-1).
NPI number1497923924
StatusActive
Last updated in NPPESOct 16, 2024
Details
- NPI
- 1497923924
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Dawn Seelke-Hernandez
- Credential
- NNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2008
- Certification date
- Oct 16, 2024
- Last updated
- Oct 16, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LN0005X | Nurse Practitioner, Neonatal, Critical Care | 677051 | TX | Yes |
| 363LN0000X | Nurse Practitioner, Neonatal | 101-0136407 | VT | |
| 363LN0000X | Nurse Practitioner, Neonatal | 677051 | TX |
Practice location
938 Redwood AveRockport, TX 78382-5955
Phone 979-703-9654
Mailing address
1103 Rivery BlvdSte 250 Pmb 132
Georgetown, TX 78628-3034
Phone 361-834-4772
Other practice locations
111 Colchester Ave
Burlington, VT 05401-1473
Burlington, VT 05401-1473
Phone 802-847-0000
800 E Dawson St
Tyler, TX 75701-2036
Tyler, TX 75701-2036
Phone 903-606-1800
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