Registry record
- NPI
- 1811458094
- Profession
- Nurse Practitioner (NP)
- Specialty
- Adult Health Nurse Practitioner (363LA2200X)
- Practice address
- 126 Main Plz
San Antonio, TX 78205 - Phone
- 8883656271
- In the registry since
- March 28, 2019
- Last NPPES update
- March 28, 2019
- Sole proprietor
- No
- License
- AP141095 (TX)
At this location
One other provider in our data lists 126 Main Plz, San Antonio as a practice address:
- Eyitayo Odeniyi, DNP, GNP-BC, PMHNP-B
Psychiatric/Mental Health Nurse Practitioner · NPI 1215398532
In context
The NPI number of Kimberly Detherow is 1811458094. They are a Adult Health Nurse Practitioner in San Antonio, Texas.
Kimberly Detherow is one of 80 Adult Health Nurse Practitioners in San Antonio and one of 1,584 across Texas in our data. San Antonio ranks #3 among Texas cities in our dataset, with 3,972 NP and PA providers.
The NPI has been in the federal registry for 7 years, since March 28, 2019.
Frequently asked questions
What is NPI 1811458094?
NPI 1811458094 is the 10-digit National Provider Identifier assigned to Kimberly Detherow, a Adult Health Nurse Practitioner practicing in San Antonio, Texas. The record has been in the NPPES registry since March 28, 2019.
How do I verify this provider?
Cross-check NPI 1811458094 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license AP141095 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as March 28, 2019. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.