Individual provider Active NPI

Katrina N Menissy, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1174002893
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137842 Issued in TX
Practice address
18310 W Airport Blvd
Ste 100
Richmond, TX 77407
Phone
(832) 756-7772
Fax
(832) 730-4481
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP137842 TX Primary

Addresses

Primary practice location

18310 W Airport Blvd
Ste 100
Richmond, TX 77407

Mailing address

18310 W Airport Blvd
Ste 100
Richmond, TX 77407
Phone (832) 756-7772

Other names 1

  • Katrina Naffia Balsha Former name

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
I20190618001833 TX Practitioner - Nurse Practitioner 1052602091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians

Practice addresses (Care Compare)

3195 Dowlen Rd
Suite 105
Beaumont, TX 77706-7272
Phone (409) 860-1888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Express of the Beaumont Area PA CurrentSince Sep 15, 2019 Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients

Locations

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

107 Yale St
Ste 200
Houston, TX 77007
Phone (713) 561-3546

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

18310 W Airport Blvd
Ste 100
Richmond, TX 77407
Phone (832) 551-3503

4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Allheal Home Health, Inc.Houston, TX, CCN 747314 Home health agency 5% Or Greater Direct Ownership Interest (4.67%) Apr 20, 2016
Allheal Home Health, Inc.Houston, TX, CCN A91779 Hospice 5% Or Greater Direct Ownership Interest (4.67%) Apr 20, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1174002893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18310 W AIRPORT BLVD",
            "address_2": "STE 100",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "832-756-7772",
            "fax_number": "832-730-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18310 W AIRPORT BLVD",
            "address_2": "STE 100",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77407",
            "telephone_number": "832-756-7772",
            "fax_number": "832-730-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENISSY",
        "first_name": "KATRINA",
        "middle_name": "N",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "BALSHA",
            "middle_name": "NAFFIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.