Active NPI
Kathy B Gunner, P.N.P.
- Pediatric Nurse Practitioner
- Houston, TX
National Provider Identifier
1336235134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 443164
- Practice address
- 5656 Kelley St
Houston, TX 77026-1967 - Phone
- (713) 566-5656
- Fax
- (713) 635-1648
- NPI assigned
- Oct 5, 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 443164 | TX | Primary |
Addresses
Primary practice location
5656 Kelley St
Houston, TX 77026-1967
Mailing address
PO Box 301173
Dallas, TX 75303-1173
Phone (713) 500-3500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142749404 | Other | TX | CSHCN |
| 142749401 | Medicaid | TX | |
| 142749403 | Medicaid | TX | |
| 88N807 | Other | TX | BCBSTX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Past | Accepting new patients | |
| Pasadena Health Center, Inc | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Pasadena, TX
- NPI 1932104965
-
- Pediatrics Physician
- Pasadena, TX
- NPI 1902028509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1336235134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 301173",
"city": "DALLAS",
"state": "TX",
"postal_code": "753031173",
"telephone_number": "713-500-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5656 KELLEY ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770261967",
"telephone_number": "713-566-5656",
"fax_number": "713-635-1648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNER",
"first_name": "KATHY",
"middle_name": "B",
"credential": "P.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "443164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "142749404",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142749401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142749403",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "88N807",
"state": "TX"
}
],
"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 Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.