Active NPI
Kelly A Kaczorowski, ACNS
- Adult Health Clinical Nurse Specialist
- Houston, TX
National Provider Identifier
1548545643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 730700
- Practice address
- 929 Gessner Rd
Ste 2410
Houston, TX 77024-2515 - Phone
- (713) 242-4410
- Fax
- (713) 242-4412
- NPI assigned
- Oct 20, 2011
- 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 |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | 730700 | TX | Primary |
Addresses
Primary practice location
929 Gessner Rd
Ste 2410
Houston, TX 77024-2515
Mailing address
6400 Fannin St
Ste 2510
Houston, TX 77030-1521
Phone (713) 704-6772
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 730700 | TX | MD | Adult Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1548545643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 FANNIN ST",
"address_2": "STE 2510",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301521",
"telephone_number": "713-704-6772",
"fax_number": "713-704-1796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 GESSNER RD",
"address_2": "STE 2410",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242515",
"telephone_number": "713-242-4410",
"fax_number": "713-242-4412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACZOROWSKI",
"first_name": "KELLY",
"middle_name": "A",
"credential": "ACNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "TX",
"license": "730700",
"primary": true
}
],
"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 Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.