Individual provider Active NPI

Kenyatta Griffin-Eugene

  • Registered Nurse
  • Houston, TX
National Provider Identifier
1215698550
Registry record updated Jan 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
985860 Issued in TX
Practice address
12238 Queenston Blvd Ste I
Houston, TX 77095-5351
Phone
(281) 393-7968
NPI assigned
Jan 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 985860 TX Primary

Addresses

Primary practice location

12238 Queenston Blvd Ste I
Houston, TX 77095-5351

Mailing address

20715 S Blue Hyacinth Dr
Cypress, TX 77433-6699
Phone (504) 616-1086

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stok Haus PLLC CurrentSince Jan 19, 2022 Accepting new patients

Locations

12238 Queenston Blvd
Ste I
Houston, TX 77095
Phone (281) 393-7968

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.

NPI Registry JSON

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

{
    "created_epoch": "1641686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641686400000",
    "number": "1215698550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20715 S BLUE HYACINTH DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336699",
            "telephone_number": "504-616-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12238 QUEENSTON BLVD STE I",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955351",
            "telephone_number": "281-393-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN-EUGENE",
        "first_name": "KENYATTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-09",
        "last_updated": "2022-01-09",
        "certification_date": "2022-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "985860",
            "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 Jan 9, 2022; 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.