Individual provider Active NPI

Keagan Glyn Mouret, RN

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1265082358
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP145185 Issued in TX
Practice address
2615 Southwest Fwy Ste 140
Houston, TX 77098-4609
Phone
(713) 441-2779
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP145185 TX Primary
Emergency Registered Nurse 163WE0003X 881703 TX

Addresses

Primary practice location

2615 Southwest Fwy Ste 140
Houston, TX 77098-4609

Mailing address

2615 Southwest Fwy Ste 140
Houston, TX 77098-4609
Phone (713) 441-2779

Other practice location 1

18500 Katy Fwy
Houston, TX 77094-1110
Phone (832) 522-1800

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
I20210204002378 TX Practitioner - Nurse Practitioner 6507270493 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians
Travis County Emergency Physicians PAGroup PAC ID 0840289468, 289 clinicians

Practice addresses (Care Compare)

12740 Memorial Dr
Houston, TX 77024-4861
Phone (832) 658-3110

1911 Taylor St
Suite E
Houston, TX 77007-3991
Phone (346) 327-8553

2400 N Shepherd Dr
Suite 140
Houston, TX 77008-2989
Phone (832) 509-0458

300 N Loop
Suite 100 Memorial Hermann Gohealth UC
Houston, TX 77008-2853
Phone (713) 426-9650

4057 Riley Fuzzel Rd
Spring, TX 77386-4632
Phone (281) 602-0450

6565 Fannin St
Houston, TX 77030-2703
Phone (713) 790-3311

813 W Montgomery St
Suite 300
Willis, TX 77378-8683
Phone (936) 249-6271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
881703TXMDEmergency Registered Nurse
AP145185TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Travis County Emergency Physicians PA CurrentSince Jul 19, 2023 Accepting new patients
Nluc PLLC CurrentSince Nov 1, 2021 Accepting new patients
Memorial Hermann Urgent Care PLLC CurrentSince Jan 16, 2023 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Oct 27, 2020 Accepting new patients
Nluc PLLC CurrentSince Nov 1, 2021 Accepting new patients
Next Level MV LLC CurrentSince Nov 1, 2021 Accepting new patients
Next Level MV LLC Current Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Dec 6, 2024 Accepting new patients
Nluc PLLC Current Accepting new patients
Methodist Health Centers Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

7710 Garth Rd
Ste A
Baytown, TX 77521

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

5568 Weslayan St
Houston, TX 77005
Phone (713) 666-7050

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

2510 Smith Ranch Rd
Ste 102
Pearland, TX 77584
Phone (346) 439-7481

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD

Organizations & group practices 11

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": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1265082358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 SOUTHWEST FWY STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984609",
            "telephone_number": "713-441-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 SOUTHWEST FWY STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984609",
            "telephone_number": "713-441-2779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18500 Katy Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770941110",
            "country_code": "US",
            "telephone_number": "832-522-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOURET",
        "first_name": "KEAGAN",
        "middle_name": "GLYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP145185",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TX",
            "license": "881703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.