Kathryn Deshotels, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

649195 Issued in TX

Practice address

14006 Old Highway 59 N
Splendora, TX 77372-6302

Phone

(281) 689-2605

Fax

(281) 689-2259

NPI assigned

Oct 26, 2006

Last updated

Jun 1, 2009By the provider in NPPES

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

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doctors Express of the Beaumont Area PA

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1841525235
  Medicare reassignment Care Compare group NPD
• Soap Notes,PLLC

  • Nurse Practitioner
  • The Woodlands, TX
  • NPI 1659676641
  Authorized official Same address or phone
• Brazos Medical Center

  • Family Medicine Physician
  • Houston, TX
  • NPI 1811453293
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1275618274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772052230",
            "telephone_number": "281-364-8373",
            "fax_number": "866-234-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14006 OLD HIGHWAY 59 N",
            "city": "SPLENDORA",
            "state": "TX",
            "postal_code": "773726302",
            "telephone_number": "281-689-2605",
            "fax_number": "281-689-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHOTELS",
        "first_name": "KATHRYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "649195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DRIVERS LICENSE",
            "identifier": "11955914",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Brister, M.S. CCC/SLP
• Paige Coats, M.A., CCC-SLP
• Kimberly Dumas
• Florence P Dyer, NP C
• Lashondella D Ford, LCSW
• Amanda Golden, D.C.
• Hands of Love Inc.

• Family Nurse Practitioner in Splendora, TX
• Providers in Splendora, 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 Jun 1, 2009; 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.

Verify at the official NPI Registry.