Active NPI
Nnenna Winifred Nelson, FNP-BC
- Family Nurse Practitioner
- Katy, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP144596
- Practice address
- 23920 Katy Fwy Ste 440
Katy, TX 77494-0881 - Phone
- (832) 419-7656
- NPI assigned
- Jan 22, 2020
- Last updated
- Oct 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP144596 | TX | Primary |
Addresses
Primary practice location
23920 Katy Fwy Ste 440
Katy, TX 77494-0881
Mailing address
11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000
Other practice location 1
2940 Eldridge Pkwy
Houston, TX 77082-6878
Phone (713) 442-6800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2940 Eldridge Pkwy
Houston, TX 77082-6878
Phone (713) 442-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP144596 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelsey-Seybold Medical Group, PLLC | Current | Accepting new patients | |
| Kiran Farheen, PLLC | Current | Accepting new patients | |
| Ultra Health LLC | Current | Accepting new patients |
Locations
2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412
2940 Eldridge Pkwy
Houston, TX 77082
Phone (713) 442-6800
7514 Kingsley St
Houston, TX 77087
Phone (713) 644-8393
1795 Fry Rd
Katy, TX 77449
Phone (210) 378-6331
23920 Katy Fwy
Ste 240
Katy, TX 77494
Phone (281) 616-7918
23920 Katy Fwy
Ste 440
Katy, TX 77494
Phone (281) 392-2266
11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997
Interoperability endpoints
- https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4
- nnelson95225@direct.kelsey-seybold.com
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.
-
dba Kelsey Seybold Clinic
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1013915255
-
- Rheumatology Physician
- Katy, TX
- NPI 1689178147
-
dba Ultra Health Provders
- Geriatric Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1922469543
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1497385132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11511 SHADOW CREEK PKWY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847298",
"telephone_number": "713-442-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23920 KATY FWY STE 440",
"city": "KATY",
"state": "TX",
"postal_code": "774940881",
"telephone_number": "832-419-7656"
}
],
"practiceLocations": [
{
"address_1": "2940 Eldridge Pkwy",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770826878",
"country_code": "US",
"telephone_number": "713-442-6800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "NNENNA",
"middle_name": "WINIFRED",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-22",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP144596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.