Kimberey Calloway, REGISTERED NURSE
NPI 1669746772ActiveIndividual· Case Manager/Care Coordinator· Fort Worth, TX
Case Manager/Care Coordinator (REGISTERED NURSE) in Fort Worth, Texas, licensed in TX, with an NPI issued in March 2012.
Overview
| NPI | 1669746772 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | REGISTERED NURSE |
| Sole proprietor | Yes |
| NPI issued | Mar 7, 2012 |
| Last updated in NPPES | Apr 24, 2025 |
| Certified by provider | Apr 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X | 975583 | TX |
| Counselor, Mental Health | 101YM0800X | 975583 | TX |
| Registered Nurse, Case Management | 163WC0400X | 975583 | TX |
| Registered Nurse, Community Health | 163WC1500X | 975583 | TX |
| Registered Nurse, Psych/Mental Health, Child & Adolescent | 163WP0807X | 975583 | TX |
| Registered Nurse, Psych/Mental Health | 163WP0808X | 975583 | TX |
| Health & Wellness Coach | 171400000X | 975583 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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