Individual provider Active NPI

Kevin Michael Hughes, PLACEMENTCOORDINATOR

  • Community Psychiatric/Mental Health Clinical Nurse Specialist
  • Houston, TX
National Provider Identifier
1477210789
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0812X
License
104865 Issued in TX
Practice address
11707 Sharpview Dr
Houston, TX 77072-2807
Phone
(832) 865-7390
NPI assigned
Nov 22, 2021
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 111013 TX
Community Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0812X 104865 TX Primary

Addresses

Primary practice location

11707 Sharpview Dr
Houston, TX 77072-2807

Mailing address

11707 Sharpview Dr
Houston, TX 77072-2807
Phone (832) 907-7063

Other identifiers 3

IdentifierTypeStateIssuer
111013OtherTXMETROLIFT
45679657MedicaidTX
45679657OtherTXALL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://hughes-placement-coordinator.business.site/?utm_source=gmb&utm_medium=referral

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
111013TXMDClinical Social Worker
104865TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Solomon Community Transportation LLC Current Accepting new patients
Hughes Placement Coordinator Multi-Specialty CurrentSince Dec 5, 2021 Accepting new patients
Hughes Personal Care Home LLC Multi-Specialty Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1477210789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11707 SHARPVIEW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722807",
            "telephone_number": "832-907-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11707 SHARPVIEW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722807",
            "telephone_number": "832-865-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PLACEMENTCOORDINATOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-22",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "111013",
            "primary": false
        },
        {
            "code": "364SP0812X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "TX",
            "license": "104865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METROLIFT",
            "identifier": "111013",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45679657",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL",
            "identifier": "45679657",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hughes-placement-coordinator.business.site/?utm_source=gmb&utm_medium=referral",
            "affiliation": "N",
            "endpointDescription": "websute",
            "address_1": "11707 Sharpview Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770722807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 11, 2022; 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.