Individual provider Active NPI

Kennikqua Thompson, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1578005302
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132565 Issued in TX
Practice address
12114 Fawnway Dr
Houston, TX 77048-4114
Phone
(713) 927-8842
NPI assigned
Nov 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP132565 TX Primary
Nurse Practitioner 363L00000X AP132565 TX

Addresses

Primary practice location

12114 Fawnway Dr
Houston, TX 77048-4114

Mailing address

1200 Baker St
Houston, TX 77002-1206
Phone (713) 755-6701

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170104002170 TX Practitioner - Nurse Practitioner 1355622481 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Em-I Medical Services, PA CurrentSince Aug 24, 2022 Accepting new patients
Texas Em-I Medical Services PA Nurse Practitioner CurrentSince Aug 24, 2022 Accepting new patients
Memorial Hermann Urgent Care PLLC CurrentSince Jul 21, 2022 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Utmb Faculty Group Practice CurrentSince Nov 10, 2016 Accepting new patients
A Kabir Qadri MD PA CurrentSince Oct 1, 2023 Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients
Singleton Associates PA Nurse Practitioner Past Accepting new patients
Infectious Disease Associates of Greater Houston LLC PastSince Mar 26, 2020 Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

2309 W Mulberry St
Angleton, TX 77515
Phone (979) 849-6467

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

6416 Broadway St
Galveston, TX 77551
Phone (409) 744-5437

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

9711 N Sam Houston Pkwy E
#One
Humble, TX 77396
Phone (281) 441-6520

9711 N Sam Houston Pkwy E
Humble, TX 77396
Phone (281) 441-6520

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

22999 Highway 59 N
Ste 419
Kingwood, TX 77339
Phone (281) 361-4600

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

2240 Gulf Fwy S
Fl 4
League City, TX 77573
Phone (832) 505-1234

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD
  • Direct secure messaging: kthompson36086@direct.utmb.edu

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1578005302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BAKER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770021206",
            "telephone_number": "713-755-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12114 FAWNWAY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770484114",
            "telephone_number": "713-927-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KENNIKQUA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132565",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP132565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.