Individual provider Active NPI

Keneisha S Thompson, RN

  • Registered Nurse
  • Houston, TX
National Provider Identifier
1518584440
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
843523 Issued in TX
Practice address
8426 Manassas LN
Houston, TX 77083-6362
Phone
(832) 498-7491
Fax
(713) 481-8430
NPI assigned
Jun 26, 2020
Last updated
Nov 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 843523 TX Primary
Medical-Surgical Registered Nurse 163WM0705X 843523 TX

Addresses

Primary practice location

8426 Manassas LN
Houston, TX 77083-6362

Mailing address

8426 Manassas LN
Houston, TX 77083-6362
Phone (713) 481-8857

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)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
843523TXMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Victorious Medical Services , LLC CurrentSince Aug 19, 2020 Accepting new patients
Eclektic Enterprises LLC CurrentSince Sep 17, 2023 Accepting new patients

Locations

225 Matlage Way
Sugar Land, TX 77478
Phone (346) 465-4216

225 Matlage Way
Unit 3052
Sugar Land, TX 77487

Organizations & group practices 2

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": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762646400000",
    "number": "1518584440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8426 MANASSAS LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836362",
            "telephone_number": "713-481-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8426 MANASSAS LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836362",
            "telephone_number": "832-498-7491",
            "fax_number": "713-481-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KENEISHA",
        "middle_name": "S",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "843523",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "843523",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 9, 2025; 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.