Individual provider Active NPI

Kaylee Everett, PA-C

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1174991509
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA10206 Issued in TX
Practice address
6410 Fannin St Ste 370
Houston, TX 77030-3004
Phone
(713) 486-5075
NPI assigned
Sep 2, 2015
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA10206 TX Primary

Addresses

Primary practice location

6410 Fannin St Ste 370
Houston, TX 77030-3004

Mailing address

6410 Fannin St Ste 370
Houston, TX 77030-3004

Other practice location 1

7401 Main St
Houston, TX 77030-4509
Phone (713) 799-2300

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
I20160222001438 TX Practitioner - Physician Assistant 7315242823 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10206TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Nurse Practitioner CurrentSince Mar 7, 2022 Accepting new patients
Orthopedic Associates of Corpus Christi Nurse Practitioner CurrentSince Jan 22, 2016 Accepting new patients
Fondren Orthopedic Group L.L.P. CurrentSince Jun 15, 2020 Accepting new patients
Ut Physicians CurrentSince Mar 7, 2022 Accepting new patients
Orthopedic Associates of Corpus Christi CurrentSince Jan 22, 2016 Accepting new patients

Locations

5917 Crosstown Expy
#286
Corpus Christi, TX 78417
Phone (361) 854-1454

601 Texan Trl
Ste 300
Corpus Christi, TX 78411
Phone (361) 887-2900

6410 Fannin St
#135
Houston, TX 77030

6410 Fannin St
Ste 370
Houston, TX 77030
Phone (713) 486-6755

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

7401 Main St
Houston, TX 77030
Phone (713) 799-8600

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1174991509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 370",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 370",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303004",
            "telephone_number": "713-486-5075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401 Main St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770304509",
            "country_code": "US",
            "telephone_number": "713-799-2300",
            "fax_number": "713-794-3395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "KAYLEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA10206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.