Individual provider Active NPI

Kayla Gray Vanderkooi

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1407484306
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5280 Issued in TN
Practice address
600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone
(361) 861-1864
NPI assigned
Mar 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T7381 TX
Emergency Medicine Physician 207P00000X 335285 NY
Emergency Medicine Physician 207P00000X 5280 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

600 Elizabeth St
Corpus Christi, TX 78404-2235

Mailing address

600 Elizabeth St # 9B
Corpus Christi, TX 78404-2235
Phone (361) 861-1864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220906001406 TX Practitioner - Emergency Medicine 2163806431 Reassigns benefits to 5 organizations
I20230810003417 TN Practitioner - Emergency Medicine 2163806431 Reassigns benefits to 2 organizations
I20251016002956 NY Practitioner - Emergency Medicine 2163806431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Emergency Physician Services of New York, P.C.Group PAC ID 8325939804, 128 clinicians

Practice addresses (Care Compare)

304 Church St
Sweetwater, TN 37874-1181
Phone (865) 213-8200

45 Reade PL
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500

Hospital & facility affiliations

  • Putnam Hospital Center Hospital, Carmel, NY, CCN 330273
  • Sweetwater Hospital Association Hospital, Sweetwater, TN, CCN 440084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
335285NYMDEmergency Medicine Physician
5280TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Emergency Medicine Associates PA Emergency Medicine CurrentSince Apr 30, 2023 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Oct 15, 2025 Accepting new patients
Jasper Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Jasper Emergency Medicine Associates PA Emergency Medicine CurrentSince Apr 30, 2023 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jan 27, 2024 Accepting new patients
Middle Tennessee Emergency Physicians PC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Jefferson Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Southeast Emergency Medicine Associates, PA Emergency Medicine CurrentSince Apr 30, 2023 Accepting new patients
Gulf Coast Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Guadalupe Emergency Medicine Associates, PA Emergency Medicine CurrentSince Oct 16, 2022 Accepting new patients
Code 3 Emergency Physicians, PA Emergency Medicine PastSince Apr 5, 2020 Accepting new patients
Refugio County Memorial Hospital District Past Accepting new patients

Locations

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

520 W Main St
Smithville, TN 37166
Phone (615) 215-5000

401 Sewell Dr
Sparta, TN 38583
Phone (931) 738-2164

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

324 Doolittle Rd
Woodbury, TN 37190
Phone (615) 563-4001

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

600 Elizabeth St
#9B
Corpus Christi, TX 78404
Phone (361) 861-1861

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214

400 Enterprise Blvd
Ste A
Rockport, TX 78382
Phone (361) 727-8200

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1407484306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ELIZABETH ST # 9B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042235",
            "telephone_number": "361-861-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ELIZABETH ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042235",
            "telephone_number": "361-861-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERKOOI",
        "first_name": "KAYLA",
        "middle_name": "GRAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T7381",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "335285",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "5280",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.