Individual provider Active NPI

Kayla E Pollet, PA-C

  • Physician Assistant
  • Sugar Land, TX
National Provider Identifier
1174838080
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06759 Issued in TX
Practice address
15200 Southwest Fwy Ste 175
Sugar Land, TX 77478-3892
Phone
(713) 461-2915
Fax
(713) 461-5307
NPI assigned
Aug 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06759 TX Primary

Addresses

Primary practice location

15200 Southwest Fwy Ste 175
Sugar Land, TX 77478-3892

Mailing address

9235 Katy Fwy Ste 400
Houston, TX 77024-1507
Phone (713) 461-2915

Other names 1

  • Kayla E Halfmann Former name

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)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1174838080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 KATY FWY STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241507",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY STE 175",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783892",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLET",
        "first_name": "KAYLA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "HALFMANN",
            "middle_name": "E",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.