Individual provider Active NPI

Kayli Danielle Dozier Joachim, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1124455043
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP124518 Issued in TX
Practice address
1934 Caroline St
Houston, TX 77002-8210
Phone
(713) 286-6000
NPI assigned
Oct 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 797679 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP124518 TX Primary

Addresses

Primary practice location

1934 Caroline St
Houston, TX 77002-8210

Mailing address

1934 Caroline St
Houston, TX 77002-8210
Phone (713) 286-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131118001116 TX Practitioner - Nurse Practitioner 2769618966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare for the Homeless-HoustonGroup PAC ID 4385614882, 10 clinicians

Practice addresses (Care Compare)

1212 Prairie St
Houston, TX 77002-2008
Phone (713) 220-9730

1934 Caroline St
Houston, TX 77002-8210
Phone (713) 286-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare for the Homeless-Houston CurrentSince Sep 30, 2024 Accepting new patients
Healthcare for the Homeless-Houston Current Accepting new patients
Stages of Recovery, Inc Past Accepting new patients
Stages of Recovery, Inc Past Accepting new patients
Stages of Recovery, Inc Past Accepting new patients
Healthcare for Homeless Houston Past Accepting new patients

Locations

1934 Caroline St
Houston, TX 77002
Phone (713) 286-6000

Organizations & group practices 6

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": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1124455043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 CAROLINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028210",
            "telephone_number": "713-286-6000",
            "fax_number": "713-286-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 CAROLINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028210",
            "telephone_number": "713-286-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOZIER JOACHIM",
        "first_name": "KAYLI",
        "middle_name": "DANIELLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-09",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "797679",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP124518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.