Kennetha Alvarez, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30056 Issued in TX

Practice address

8205 Lake Powell Dr
Nederland, TX 77627-5654

Phone

(409) 332-7201

NPI assigned

Apr 25, 2019

Last updated

Sep 14, 2020By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Allure Healthcare,LLC

  • Community Health Clinic/Center
  • Port Arthur, TX
  • NPI 1124763206
  NPD Authorized official

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1417511353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 HIGHLAND AVE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777055205",
            "telephone_number": "409-892-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 LAKE POWELL DR",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776275654",
            "telephone_number": "409-332-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "KENNETHA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "30056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albritton Dental Associates
• Alliance Physicians Group of Texas, PLLC
• Allied Physicians Group of Texas, P.L.L.C.
• Clyde Verl Allred, M.D.
• Alpha Omega Health Management Services, LLC
• Nisha Amin, PHD
• Anbap Wellness LLC (Optimum Medical Weight Control and Family Wellness)
• Anbap Wellness LLC (Optimum Medical Family Practice)
• Andrew Mann Optometrist PA (Visionmann)
• Anew Wellness, LLC (Nederland Ave Family Wellness)

• Family Nurse Practitioner in Nederland, TX
• Providers in Nederland, 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 Sep 14, 2020; 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.