Organization Active NPI

Kindle Clinic Inc

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1043626740
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
KINDLE CLINIC INC
Practice address
10100 Kleckley Dr # B6
Houston, TX 77075-3418
Phone
(832) 742-9632
Fax
(832) 742-9639
NPI assigned
Jul 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Agnes AnyalebechiNPI 1588908594
Title
Administrator
Phone
(832) 804-7094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

10100 Kleckley Dr # B6
Houston, TX 77075-3418

Mailing address

11317 Windy Creek Dr
Pearland, TX 77584-8213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141117000363 TX Part B Supplier - Clinic/Group Practice 1254553878 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2087224Kindle Clinic, Inc10100 Kleckley Dr B6, Houston, TX 77075Certificate of waiverNov 18, 2026

National Provider Directory

National Provider Directory

Locations

10100 Kleckley Dr
#B6
Houston, TX 77075
Phone (832) 742-9632

3909 Shaver St
Pasadena, TX 77504
Phone (832) 804-7094

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1043626740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11317 WINDY CREEK DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 KLECKLEY DR # B6",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770753418",
            "telephone_number": "832-742-9632",
            "fax_number": "832-742-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDLE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "ANYALEBECHI",
        "authorized_official_first_name": "AGNES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-804-7094"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.