Individual provider Active NPI

Kynessa Patrice McCray, HHP

  • Nutritionist
  • Houston, TX
National Provider Identifier
1073369104
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
46343807 Issued in TX
Practice address
13100 Wortham Center Dr FL 3
Houston, TX 77065-5625
Phone
(310) 505-7444
NPI assigned
Apr 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 46343807 TX Primary

Addresses

Primary practice location

13100 Wortham Center Dr FL 3
Houston, TX 77065-5625

Mailing address

11403 Barker Cypress Rd Ste J
Cypress, TX 77433-5398
Phone (310) 505-7444

Other names 1

  • Kynessa Patrice McCray Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46343807TXMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Hair Loss Management Center of Houston CurrentSince May 7, 2024 Accepting new patients

Locations

11403 Barker Cypress Rd
Ste J
Cypress, TX 77433

13100 Wortham Center Dr
Fl 3
Houston, TX 77065
Phone (800) 773-8971

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1073369104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11403 BARKER CYPRESS RD STE J",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335398",
            "telephone_number": "310-505-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 WORTHAM CENTER DR FL 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655625",
            "telephone_number": "310-505-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "KYNESSA",
        "middle_name": "PATRICE",
        "credential": "HHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "TX",
            "license": "46343807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYNESSA",
            "last_name": "MCCRAY",
            "middle_name": "PATRICE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.