Active NPI
Kia Dandrielle Kenebrew, PA-C
- Physician Assistant
- Houston, TX
National Provider Identifier
1194417394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18974
- Practice address
- 6400 Fannin St., Ste 2800
Houston, TX 77030-1521 - Phone
- (713) 500-6128
- Fax
- (713) 500-0665
- NPI assigned
- May 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | |||
| Physician Assistant | 363A00000X | PA18974 | TX | Primary |
Addresses
Primary practice location
6400 Fannin St., Ste 2800
Houston, TX 77030-1521
Mailing address
6400 Fannin St., Ste 2070
Houston, TX 77030-1541
Phone (713) 486-8000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11920 Astoria Blvd
Suite 292
Houston, TX 77089-6155
Phone (713) 486-7970
6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-4000
Hospital & facility affiliations
- Memorial Hermann Memorial City Hospital
- Memorial Hermann - Texas Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA18974 | TX | MD | Physician Assistant |
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Houston, TX
- NPI 1265096317
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740233782
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1194417394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 FANNIN ST., STE 2070",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301541",
"telephone_number": "713-486-8000",
"fax_number": "713-486-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 FANNIN ST., STE 2800",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301521",
"telephone_number": "713-500-6128",
"fax_number": "713-500-0665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENEBREW",
"first_name": "KIA",
"middle_name": "DANDRIELLE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-24",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA18974",
"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 Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.