Active NPI
Valerie Jean Cheatham, A/GNP
- Gerontology Nurse Practitioner
- Katy, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 563679
- Practice address
- 24275 Katy Fwy Ste 400
Katy, TX 77494-7267 - Phone
- (346) 387-7171
- Fax
- (844) 703-5305
- NPI assigned
- Apr 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 563679 | TX | Primary |
Addresses
Primary practice location
24275 Katy Fwy Ste 400
Katy, TX 77494-7267
Mailing address
24275 Katy Fwy Ste 400
Katy, TX 77494-7267
Phone (346) 387-7171
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500000774 | Other | TX | RAILROAD GBA - RAILROAD MEDICARE |
| 038004002 | Medicaid | TX | |
| 80N446 | Other | TX | BCBS |
| 038004001 | Medicaid | TX | |
| P01090515 | Other | TX | RAILROAD MEDICARE PTAN |
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
- Nurse Practitioner
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
24285 Katy Fwy
Suite 300
Katy, TX 77494-1327
Phone (346) 387-7171
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborative Geriatrics Inc | Gerontology | Current | Accepting new patients |
| South Texas Medical Clinics, P.a. | Past | Accepting new patients |
Locations
24275 Katy Fwy
Ste 400
Katy, TX 77494
Phone (346) 387-7171
24285 Katy Fwy
Ste 300
Katy, TX 77494
Phone (346) 387-7171
1405 Valhalla Dr
Wharton, TX 77488
Phone (713) 723-9068
Interoperability endpoints
- valerie.cheatham.1@12705.direct.athenahealth.com
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.
-
- Gerontology Nurse Practitioner
- Katy, TX
- NPI 1811088628
-
- General Practice Physician
- East Bernard, TX
- NPI 1114077427
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Eagle Lake, TX
- NPI 1205164928
-
- Home Health Agency
- Bay City, TX
- NPI 1982609160
-
- General Acute Care Hospital
- El Campo, TX
- NPI 1003192311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1235195595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24275 KATY FWY STE 400",
"city": "KATY",
"state": "TX",
"postal_code": "774947267",
"telephone_number": "346-387-7171",
"fax_number": "844-703-5305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24275 KATY FWY STE 400",
"city": "KATY",
"state": "TX",
"postal_code": "774947267",
"telephone_number": "346-387-7171",
"fax_number": "844-703-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATHAM",
"first_name": "VALERIE",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "A/GNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "563679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GBA - RAILROAD MEDICARE",
"identifier": "500000774",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038004002",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "80N446",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038004001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P01090515",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.