Kathleen Tennys Biederman, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP133863 Issued in TX

Practice address

5252 Hollister St
Suite #201
Houston, TX 77040-6214

Phone

(346) 410-0404

NPI assigned

May 11, 2017

Last updated

Mar 7, 2019By 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)

Enrolled

Credentials

Nurse Practitioner

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.

• Ruan Medical Group

  dba Texas Center For Lifestyle Medicine

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1407394844
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1548796345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 BEE CAVES RD",
            "address_2": "STE 105",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465206",
            "telephone_number": "512-892-0490",
            "fax_number": "512-892-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 HOLLISTER ST",
            "address_2": "SUITE #201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406214",
            "telephone_number": "346-410-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEDERMAN",
        "first_name": "KATHLEEN",
        "middle_name": "TENNYS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP133863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khurshid Abdul Sattar Bidiwala, M.D
• Madelaine Bidondo Gil, FNP
• Dani Sirop Bidros, M.D.
• Rafi Sirop Bidros, M.D.
• Susan Bieber, M.D.
• Diane Elizabeth Biegel, CRNA
• Biel Foot & Ankle Specialists PLLC
• Kristen Elaine Biel, DPM
• Marie C Bielamowicz-Tynan, DC
• Cory Diane Bielke, MD

• Primary Care Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.