NPI age
7 years
Enumerated 2019-03-28
● Active
Type 1 · Individual
Kimberly Detherow, APRN
Detherow is 1 of 61 nurse practitioner providers in San Antonio and 1 of 1243 in Texas.
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-03-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1243 active nurse practitioner providers in Texas.
NPI age
7 years
↓ 4 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
39% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-03Enumerated in NPPES
2019
2026
Where they practice
Practice location
126 Main Plz
San Antonio, TX 782052745
Mailing address
24015 Augusta Falls Ln
Spring, TX 773894276
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 2 new nurse practitioner providers have been added in San Antonio in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.