Active NPI
Kathereene Juliana, MD
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
National Provider Identifier
1174358295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- BP1-0090916
- Practice address
- 6431 Fannin Street
MSB 2.022
Houston, TX 77030 - Phone
- (713) 500-5302
- NPI assigned
- Sep 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | BP1-0090916 | TX | Primary |
Addresses
Primary practice location
6431 Fannin Street
MSB 2.022
Houston, TX 77030
Mailing address
6431 Fannin Street
MSB 2.022
Houston, TX 77030
Phone (713) 500-5302
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0090916 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1174358295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN STREET",
"address_2": "MSB 2.022",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-500-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6431 FANNIN STREET",
"address_2": "MSB 2.022",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-500-5302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIANA",
"first_name": "KATHEREENE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "BP1-0090916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 19, 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.