Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891453031 Individual Practitioner Female Practitioner

Kiara Packham , CPNP

Nurse Practitioner - Pediatrics • Coppell, TX

Professional Overview & Biography Verified Profile Summary

Kiara Packham, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Coppell, TX. Practice services are available at 211 RICHMOND CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

211 Richmond Ct

Coppell, TX 750196229

Telephone 8016943456

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Coppell, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Coppell, TX (2253 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-22
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX 1166018

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location May 22, 2025

Registered at 211 RICHMOND CT, COPPELL, TX 750196229 (Tel: 8016943456)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2025

Nurse Practitioner (License #1166018 in TX)

NPI Profile Active December 06, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2021

Registered at 5461 MERIDIAN MARK RD STE 400, ATLANTA, GA 303423283 (Tel: 4047851112)

📍
Updated Business Mailing Address December 06, 2021

Registered at 5461 MERIDIAN MARK RD STE 400, ATLANTA, GA 303423283 (Tel: 4047851112)

👤
Provider Name / Credentials Updated December 06, 2021

Recorded as KIARA PACKHAM, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2021

Nurse Practitioner (License #RN307649 in GA)

🟢
Initial NPI Registration & Enumeration December 06, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891453031
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2021
Last Update: May 22, 2025
Sole Proprietor: Yes

Mailing Address

5461 Meridian Mark Rd Ste 400

Atlanta, GA 303423283

Phone: 4047851112

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.