Individual provider Active NPI

Kimberly Tezeno, NP

  • Primary Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1407645401
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1196774 Issued in TX
Practice address
2646 S Loop W Ste 330
Houston, TX 77054-2773
Phone
(281) 888-4407
NPI assigned
May 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 1196774 TX Primary

Addresses

Primary practice location

2646 S Loop W Ste 330
Houston, TX 77054-2773

Mailing address

5527 Gatesprings LN
Sugar Land, TX 77479-8865
Phone (225) 220-6335

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250623004104 TX Practitioner - Nurse Practitioner 5496267726 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amms North Texas, PLLCGroup PAC ID 7012405798, 3 clinicians
Perioperative and Transitional Medicine Group PLLCGroup PAC ID 7214245646, 34 clinicians

Practice addresses (Care Compare)

Grapevine, TX 76051
Phone (682) 532-6372

8220 Walnut Hill LN
Suite 600
Dallas, TX 75231-4433
Phone (214) 238-3074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1196774TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Practice House Calls LLC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
WT Health of Texas LLC Single Specialty CurrentSince Jun 16, 2025 Accepting new patients
Woundtech of Texas Single Specialty CurrentSince Jun 16, 2025 Accepting new patients
Quantum Practitioner Services LLC Single Specialty CurrentSince Nov 18, 2025 Accepting new patients
Perioperative and Transitional Medicine Group PLLC Single Specialty CurrentSince Feb 20, 2026 Accepting new patients
Global Wound Care Medical Group Single Specialty CurrentSince Sep 15, 2025 Accepting new patients
Bellaire Wound Care Single Specialty CurrentSince Feb 11, 2026 Accepting new patients
Signify Health Medical Associates, PLLC Single Specialty CurrentSince Mar 1, 2026 Accepting new patients
Advance Pharmacy LLC PastSince May 18, 2025 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

1626 W Baker Rd
Baytown, TX 77521
Phone (281) 628-7300

6909 Lake June Rd
Dallas, TX 75217
Phone (214) 391-1900

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

8220 Walnut Hill Ln
Ste 600
Dallas, TX 75231
Phone (214) 238-3074

2550 Pacific Ave
Ste 700
Dallas, TX 75226
Phone (866) 686-8862

3663 N Sam Houston Pkwy E
Ste 600
Houston, TX 77032
Phone (281) 594-8953

2400 Augusta Dr
Ste 366
Houston, TX 77057
Phone (346) 362-5344

2646 S Loop W
Ste 330
Houston, TX 77054
Phone (281) 888-4407

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1407645401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 GATESPRINGS LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798865",
            "telephone_number": "225-220-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W STE 330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542773",
            "telephone_number": "281-888-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEZENO",
        "first_name": "KIMBERLY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1196774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.