Active NPI
Kynessa Patrice McCray, HHP
- Nutritionist
- Houston, TX
National Provider Identifier
1073369104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 46343807
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46343807 | TX | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hair Loss Management Center of Houston | Current | 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.
-
- Customized Equipment (DME)
- Houston, TX
- NPI 1639925696
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.