P Praxis·MD
● Active Type 1 · Individual

Kimberly Zickafoose, WHNP-BC

Nurse Practitioner·Live Oak, TX· NPI 1063007789 · Enumerated 2021 · 5 years on NPI
Zickafoose is 1 of 5 nurse practitioner providers in Live Oak and 1 of 982 in Texas.
NPI age
5 years
Enumerated 2021-03-04
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-04-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 982 active nurse practitioner providers in Texas.

NPI age
5 years
↓ 11 yr below median (16 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 21% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-03Enumerated in NPPES
2021 2026

Where they practice

Practice location
12602 Toepperwein Rd Ste 208
Live Oak, TX 782333271
📞 2108780090
Mailing address
12602 Toepperwein Rd Ste 208
Live Oak, TX 782333271
📞 2108780090

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #1077936 taxonomy 363LW0102X
  • Nurse Practitioner
    Definition to come...
    TX license #909383 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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