Individual provider Active NPI

Joan Marie Killen, PH. D. RN-C FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1407191190
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
430606 Issued in TX
Practice address
6700 Fannin St
Texas Woman'S University College of Nursing
Houston, TX 77030-2343
Phone
(713) 794-2100
Fax
(713) 794-2103
NPI assigned
Dec 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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 430606 TX Primary

Addresses

Primary practice location

6700 Fannin St
Texas Woman'S University College of Nursing
Houston, TX 77030-2343

Mailing address

6700 Fannin St
Texas Woman'S University College of Nursing
Houston, TX 77030-2343
Phone (713) 794-2100

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
430606TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1407191190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 FANNIN ST",
            "address_2": "TEXAS WOMAN'S UNIVERSITY COLLEGE OF NURSING",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302343",
            "telephone_number": "713-794-2100",
            "fax_number": "713-794-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 FANNIN ST",
            "address_2": "TEXAS WOMAN'S UNIVERSITY COLLEGE OF NURSING",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302343",
            "telephone_number": "713-794-2100",
            "fax_number": "713-794-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEN",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "name_prefix": "Prof.",
        "credential": "PH. D. RN-C FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "430606",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.