Simon Kaitei

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP141844 Issued in TX

Practice address

3312 Teasley LN # 100
Denton, TX 76210-8315

Phone

(940) 222-2399

NPI assigned

Jul 12, 2019

Last updated

Sep 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connections Wellness GroupGroup PAC ID 8628582004, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connections Wellness Group

  • Mental Health Counselor
  • Plano, TX
  • NPI 1003398421
  Medicare reassignment Care Compare group NPD
• Dallas County Mental Health & Mental Retardation Center

  dba Metrocare Services

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1023239886
  Medicare reassignment NPD
• Holistic Psychiatry Wellness

  • Community/Behavioral Health Agency
  • Spokane Valley, WA
  • NPI 1164243689
  NPD Authorized official
• Connections Physicians Group

  • Psychiatry Physician
  • Denton, TX
  • NPI 1841819612
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1033761630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 OCALA LN",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750700224",
            "telephone_number": "214-945-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 TEASLEY LN # 100",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762108315",
            "telephone_number": "940-222-2399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7290 Virginia Pkwy Ste 3100",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750715752",
            "country_code": "US",
            "telephone_number": "469-617-6166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAITEI",
        "first_name": "SIMON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP141844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K&O Wellness, PLLC (Radiant Life Wellness and Aesthetic)
• Kirsten Kaae
• Simon Kabututwa, MD
• Katie Kadane, M.A., LPC
• Melanie F Kahn, MD
• Patricia Kaminski, PHD
• Jennifer Kamp, FNP-C
• Kamran Chaudhry MD PA
• Erin Kane
• Kang Dental, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Denton, TX
• Providers in Denton, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.