Kateesa Childs

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1026804 Issued in TX

Practice address

5 Grogans Park Dr Ste 203
The Woodlands, TX 77380-2191

Phone

(281) 645-0207

Fax

(281) 645-0214

NPI assigned

Nov 15, 2021

Last updated

Nov 15, 2021By 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

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

Medicare enrollment (NPD)

Enrolled

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.

• Regional Physician Services of Texas, P.a.

  • Nurse Practitioner
  • Abilene, TX
  • NPI 1043529944
  Medicare reassignment
• Premier Specialty Physicians

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1134601073

  Family

  NPD
• Premium Choice Physicians

  • General Practice Physician
  • The Woodlands, TX
  • NPI 1548824121
  NPD

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1386300317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GROGANS PARK DR STE 203",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802191",
            "telephone_number": "281-645-0207",
            "fax_number": "281-645-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GROGANS PARK DR STE 203",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802191",
            "telephone_number": "281-645-0207",
            "fax_number": "281-645-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "KATEESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1026804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuyan Chen
• Denise Lynn Cheplick, M.A., CCC-SLP
• Salim Koshi Cheriyan, M.D.
• CHI Hiong U Go MD PA
• Childers Counseling, PLLC
• Brian T Chimenti, M.D.
• Paul Carl Chin, MD, PHD
• Javier Chinen, M.D.
• Anita Chitlangia
• Derrick H Cho, M.D.

• Family Nurse Practitioner in The Woodlands, TX
• Providers in The Woodlands, 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 Nov 15, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.