Individual provider Active NPI

Kenyawn Judea Simmons, FNP-C

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1265659247
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1159164 Issued in TX
Practice address
1420 Katy Fort Bend Rd
Katy, TX 77493-3888
Phone
(707) 694-0095
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1159164 TX Primary

Addresses

Primary practice location

1420 Katy Fort Bend Rd
Katy, TX 77493-3888

Mailing address

1420 Katy Fort Bend Rd
Katy, TX 77493-3888
Phone (707) 694-0095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220921004013 CA Practitioner - Nurse Practitioner 0547645855 Reassigns benefits to 3 organizations
I20240917001543 TX Practitioner - Nurse Practitioner 0547645855 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Refuah Healthcare Texas IncGroup PAC ID 1850838822, 7 clinicians

Practice addresses (Care Compare)

5850 San Felipe St
Suite 500
Houston, TX 77057-8003
Phone (310) 933-5688

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level MV LLC CurrentSince Jan 13, 2025 Accepting new patients
Aranke Enterprises PLLC CurrentSince Jul 1, 2025 Accepting new patients
Ucp Physicians of Central Texas, PLLC Current Accepting new patients
Nluc PLLC CurrentSince Jan 13, 2025 Accepting new patients
Refuah Healthcare Texas Inc CurrentSince Jan 1, 2025 Accepting new patients
Doctors on the Go Inc. CurrentSince Aug 26, 2022 Accepting new patients
Temima Healthcare CurrentSince Aug 17, 2025 Accepting new patients
Minghsun Liu, M.D., PC CurrentSince Oct 3, 2022 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Aug 28, 2024 Accepting new patients
Ae Health PLLC CurrentSince Jul 1, 2025 Accepting new patients
Next Level MV LLC CurrentSince Jan 13, 2025 Accepting new patients
Total Elder Care, LLC Family CurrentSince Oct 1, 2025 Accepting new patients
Nluc PLLC CurrentSince Jan 13, 2025 Accepting new patients
Nluc PLLC Current Accepting new patients
Compass Palliative Care, Inc PastSince Aug 1, 2022 Accepting new patients
Regents Univ of Calif Los Angeles PastSince Aug 1, 2022 Accepting new patients
Kavanah Health Care LLC PastSince Mar 17, 2025 Accepting new patients

Locations

8200 Wilshire Blvd
Beverly Hills, CA 90211
Phone (310) 879-7167

11103 Venice Blvd
Los Angeles, CA 90034
Phone (310) 734-8526

8439 White Oak Ave
Ste 103
Rancho Cucamonga, CA 91730
Phone (818) 337-6488

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

7710 Garth Rd
Ste A
Baytown, TX 77521

6342 Phelan Blvd
Beaumont, TX 77706
Phone (281) 783-7182

5959 West Loop S
Ste 110
Bellaire, TX 77401
Phone (347) 308-3619

381 Casa Linda Plz
Dallas, TX 75218
Phone (214) 244-9452

5718 Westheimer Rd
Ste 400
Houston, TX 77057
Phone (469) 600-6282

7210 Northline Dr
Houston, TX 77076
Phone (713) 699-2882

5850 San Felipe St
Ste 500
Houston, TX 77057
Phone (281) 823-7108

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

101 Winding Way St
Ste A
Lake Jackson, TX 77566

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

4002 FM 762 Rd
Ste 100
Rosenberg, TX 77469

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Interoperability endpoints

  • Direct secure messaging: kenyan.simmonsfnp.p6@direct.nextcare.nextgenshare.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1265659247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 KATY FORT BEND RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933888",
            "telephone_number": "707-694-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 KATY FORT BEND RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933888",
            "telephone_number": "707-694-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KENYAWN",
        "middle_name": "JUDEA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1159164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.