Individual provider Active NPI

Keanna Hunter, APRN

  • Family Nurse Practitioner
  • Texas City, TX
National Provider Identifier
1609358415
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1088697 Issued in TX
Practice address
6801 Emmett F Lowry Expy
Texas City, TX 77591-2500
Phone
(409) 440-5464
NPI assigned
Aug 29, 2018
Reactivated
Sep 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 1088697 TX Primary
Home Health Registered Nurse 163WH0200X 947402 TX

Addresses

Primary practice location

6801 Emmett F Lowry Expy
Texas City, TX 77591-2500

Mailing address

3328 Jack Beaver Rd
Santa Fe, TX 77517-2692

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
I20221122000951 TX Practitioner - Nurse Practitioner 1759759889 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
947402TXMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Associates of West Houston PLLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1140 Business Center Dr
Ste 490
Houston, TX 77043
Phone (713) 932-1247

651 N Egret Bay Blvd
Ste H
League City, TX 77573
Phone (832) 632-1333

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

Interoperability endpoints

  • Direct secure messaging: keanna.hunter@hca9.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1609358415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 JACK BEAVER RD",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775172692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 EMMETT F LOWRY EXPY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912500",
            "telephone_number": "409-440-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "KEANNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "deactivation_date": "2021-01-25",
        "reactivation_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1088697",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "947402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.