Active NPI
Keagan Glyn Mouret, RN
- Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP145185
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 881703 | TX | MD | Emergency Registered Nurse |
| AP145185 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southlake Doctors Express, PA PSC | Current | Accepting new patients | |
| Travis County Emergency Physicians PA | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients | |
| Memorial Hermann Urgent Care PLLC | Current | Accepting new patients | |
| Doctors Express of the Beaumont Area PA | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients | |
| Next Level MV LLC | Current | Accepting new patients | |
| Next Level MV LLC | Current | Accepting new patients | |
| Usacs Integrated Acute Care Services of Texas, PLLC | Current | 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
- 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.
-
dba Memorial Hermann-GoHealth Urgent Care
- Family Medicine Physician
- Sugar Land, TX
- NPI 1730821208
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
dba AFC Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1841525235
-
- Urgent Care Clinic/Center
- Pearland, TX
- NPI 1013432285
-
- Urgent Care Clinic/Center
- Houston, TX
- NPI 1518209113
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
-
dba Next Level Urgent Care-League City
- Urgent Care Clinic/Center
- League City, TX
- NPI 1043814049
-
dba AFC Urgent Care
- Urgent Care Clinic/Center
- Southlake, TX
- NPI 1942519335
-
dba Houston Methodist Cypress Hospital
- General Acute Care Hospital
- Cypress, TX
- NPI 1629828405
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.