Katy Supportive Medicine, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N6844 Issued in TX

Legal business name

KATY SUPPORTIVE MEDICINE, P.A.

Practice address

205 Bella Katy Dr
Katy, TX 77494-6821

Phone

(281) 665-4032

Fax

(281) 665-1206

NPI assigned

Oct 23, 2014

Organization subpart

No

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

Authorized official

Name

Sandra Perez

Title

Office Manager

Phone

(281) 665-4032

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gail E Donley-Urita, MD

  • Internal Medicine Physician
  • Richmond, TX
  • NPI 1699810390
  Medicare reassignment Care Compare group NPD
• Tonya Rene' Maxwell, FNP

  • Nurse Practitioner
  • Richmond, TX
  • NPI 1144277500
  Medicare reassignment Care Compare group NPD
• Shaunna Caouette, NP

  • Adult Health Nurse Practitioner
  • Katy, TX
  • NPI 1275178675
  Medicare reassignment NPD
• Amy Leigh Frey, MSN, APRN, FNP

  • Family Nurse Practitioner
  • Katy, TX
  • NPI 1740028729
  Medicare reassignment NPD
• Staci Michelle Larkin, RDN, LD

  • Registered Dietitian
  • Richmond, TX
  • NPI 1295242402
  Medicare reassignment NPD

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1346645066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 BELLAIRE BLVD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073906",
            "telephone_number": "281-599-0300",
            "fax_number": "281-599-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BELLA KATY DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946821",
            "telephone_number": "281-665-4032",
            "fax_number": "281-665-1206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21700 Bellaire Blvd Ste 1520",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774073913",
            "country_code": "US",
            "telephone_number": "281-599-0300",
            "fax_number": "281-599-7807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATY SUPPORTIVE MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-665-4032"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N6844",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "N6844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@katysupportivemedicine.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD and PDF",
            "address_1": "205 Bella Katy Dr",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774946821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katy RX, Inc.
• Katy Sleep Center LLC
• Katy Smile Design, PLLC
• Katy Speech and Language
• Katy St. Catherine Surgery Center, LP
• Katy Surgical Assist Services, LLC
• Katy Surgical Assistants Inc
• Katy Surgical Assistants, Inc
• Katy TX Caregiving LLC
• Katy Ultra White Dental PC

• Internal Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.