Katherine Nicole Vidal, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

BP10072228 Issued in TX

Practice address

7501 Fannin St Ste 850
Houston, TX 77054-1972

Phone

(713) 795-9500

NPI assigned

May 6, 2020

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Bootin and Savrick Pediatric Associates

  • Pediatrics Physician
  • Houston, TX
  • NPI 1386826758
  NPD (past)
• Chca Womans Hospital LP

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1023065794
  NPD (past)

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1609497163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 FANNIN ST STE 850",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541972",
            "telephone_number": "713-795-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 FANNIN ST STE 850",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541972",
            "telephone_number": "713-795-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "KATHERINE",
        "middle_name": "NICOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "BP10072228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex C Vidaeff, M.D.
• Ismaray Vidal de la Cruz
• Alejandro Vidal Margenat, MD
• Angela Marie Vidal, FNP
• Frank Vidal, D.M.D
• Marieberta Vidal, M.D.
• Patricia Danielle Vidal, PA
• Von Nairee Vidal
• Vidawell Nutrition Center LLC
• Luis Enrique Vides, ED. D, LPC

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.