Individual provider Active NPI

Kelley Arcement, CPNP

  • Pediatric Nurse Practitioner
  • Houston, TX
National Provider Identifier
1174983506
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP130287 Issued in TX
Practice address
1213 Hermann Dr
Suite 770
Houston, TX 77004-7018
Phone
(713) 807-8921
NPI assigned
Feb 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP130287 TX Primary

Addresses

Primary practice location

1213 Hermann Dr
Suite 770
Houston, TX 77004-7018

Mailing address

6502 Patridge Dr
Pearland, TX 77584-9809
Phone (281) 682-4145

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
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP130287TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pearland Pediatric Urgent Care PA Past Accepting new patients
Pearland Pediatrics PastSince Sep 1, 2009 Accepting new patients

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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1174983506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 PATRIDGE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849809",
            "telephone_number": "281-682-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "SUITE 770",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-807-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCEMENT",
        "first_name": "KELLEY",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP130287",
            "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 Feb 26, 2016; 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.