Khankham Kaitlyn Senesoury, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP128938 Issued in TX

Practice address

3101 Denton Hwy
Haltom City, TX 76117-3706

Phone

(817) 831-6500

NPI assigned

Sep 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Truemed Healthcare LLC

  • Family Nurse Practitioner
  • Plano, TX
  • NPI 1205788510
  Medicare reassignment NPD Authorized official
• Firstchoice Healthcare LLC

  • Family Nurse Practitioner
  • Lewisville, TX
  • NPI 1477353878
  Medicare reassignment NPD
• Firstmed Healthcare LLC

  • Family Nurse Practitioner
  • Lewisville, TX
  • NPI 1134818982
  Medicare reassignment NPD

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1225406440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WALNUT HILL LN",
            "address_2": "STE. 3950",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383029",
            "telephone_number": "972-514-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 DENTON HWY",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761173706",
            "telephone_number": "817-831-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENESOURY",
        "first_name": "KHANKHAM",
        "middle_name": "KAITLYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esteban Ricardo Salas
• San an, LLC
• Savan Home Health Care LLC
• Celestia Dawn Schwab
• SD Haltom City PLLC
• Veronica Settles, LVN
• Hamid Jay Shafi, DDS
• Cherie R Shaw, LCDC-M.S, QMHP
• Ibrahim Shehadeh
• Joanna Shores, MS CCC SLP

• Family Nurse Practitioner in Haltom City, TX
• Providers in Haltom City, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.