Katerra Ione Pacheco, A-GNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1106654 Issued in TX

Practice address

110 E Medical Center Blvd
Webster, TX 77598-4301

Phone

(832) 224-9500

NPI assigned

Jan 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trumen Physician and Associates Post Acute PLLCGroup PAC ID 5496236788, 127 clinicians

Trumen Physicians and Associates PLLCGroup PAC ID 7618006883, 133 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Trumen Physicians and Associates PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1134442320
  Medicare reassignment Care Compare group NPD
• Trumen Physician and Associates Post Acute PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1316801004
  Medicare reassignment Care Compare group
• KND Development 59 LLC

  • Hospitalist Physician
  • Arlington, TX
  • NPI 1821327321
  Medicare reassignment NPD
• Xpertmd

  • Hospitalist Physician
  • Houston, TX
  • NPI 1205360518

  Nurse Practitioner

  Medicare reassignment NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1285963884
  NPD
• KND Development 59, LLC

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1124732268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18333 EGRET BAY BLVD STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583239",
            "telephone_number": "281-332-3001",
            "fax_number": "281-332-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MEDICAL CENTER BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984301",
            "telephone_number": "832-224-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984220",
            "country_code": "US",
            "telephone_number": "281-332-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10800 Flora Mae Meadows Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770895974",
            "country_code": "US",
            "telephone_number": "832-328-2350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 W Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984005",
            "country_code": "US",
            "telephone_number": "281-332-3322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 E Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984328",
            "country_code": "US",
            "telephone_number": "281-286-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5020 Space Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775053966",
            "country_code": "US",
            "telephone_number": "713-575-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Blossom St",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984204",
            "country_code": "US",
            "telephone_number": "832-632-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Blossom St",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984206",
            "country_code": "US",
            "telephone_number": "281-316-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6150 South Loop E",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770871010",
            "country_code": "US",
            "telephone_number": "713-643-2628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Alabama Ave",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775732615",
            "country_code": "US",
            "telephone_number": "281-332-9588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 N Egret Bay Blvd",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775736533",
            "country_code": "US",
            "telephone_number": "281-525-4320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 E Sam Houston Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775051400",
            "country_code": "US",
            "telephone_number": "281-998-0399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3950 Underwood Rd",
            "address_purpose": "LOCATION",
            "city": "LA Porte",
            "state": "TX",
            "postal_code": "775713900",
            "country_code": "US",
            "telephone_number": "210-951-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16130 Highway 3",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775982330",
            "country_code": "US",
            "telephone_number": "832-426-7030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Friendswood",
            "state": "TX",
            "postal_code": "775464724",
            "country_code": "US",
            "telephone_number": "281-992-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775814716",
            "country_code": "US",
            "telephone_number": "281-485-2776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 Gulf Fwy S",
            "address_purpose": "LOCATION",
            "city": "League City",
            "state": "TX",
            "postal_code": "775735143",
            "country_code": "US",
            "telephone_number": "409-772-1011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775553239",
            "country_code": "US",
            "telephone_number": "409-772-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18333 Egret Bay Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770583239",
            "country_code": "US",
            "telephone_number": "281-332-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "KATERRA",
        "middle_name": "IONE",
        "name_prefix": "Mrs.",
        "credential": "A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1106654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "454016302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "454016301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8TL748",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ortholonestar, PLLC
• Rafael Ortiz-Colberg, MD
• Amara Elenni Osita
• Dara Michelle Ostermayer, BSN, RN, IBCLC
• Marion La Shae Oveal White, APRN-CNP
• Pain Management & Wellness Center
• Mark S Palandro, DC
• Sunita B Palmer, MD
• Paragon Emergency Center -Physicians, PLLC
• Paragon Emergency Center, LLC

• Gerontology Nurse Practitioner in Webster, TX
• Providers in Webster, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.