Individual provider Active NPI

Katie Jo Kmiecik, FNP

  • Family Nurse Practitioner
  • Porter, TX
National Provider Identifier
1629461280
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1107048 Issued in TX
Practice address
23865 FM 1314 Rd
Porter, TX 77365-3727
Phone
(281) 354-1815
NPI assigned
Mar 6, 2015
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1107048 TX Primary

Addresses

Primary practice location

23865 FM 1314 Rd
Porter, TX 77365-3727

Mailing address

23865 FM 1314 Rd
Porter, TX 77365-3727
Phone (281) 354-1815

Other names 1

  • Miss Katie Jo Gaffney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150408001402 NE Practitioner - Nurse Practitioner 7810215688 Reassigns benefits to 2 organizations
I20240302000037 TX Practitioner - Nurse Practitioner 7810215688 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Houston Carenow Urgent Care PLLCGroup PAC ID 7012291958, 113 clinicians
Memorial Hermann Hospital Based Physician GroupGroup PAC ID 4385075480, 272 clinicians
The Urgent Care Associates of Texas PLLCGroup PAC ID 1355665795, 22 clinicians

Practice addresses (Care Compare)

1150 W Dallas St
Conroe, TX 77301-2208
Phone (713) 955-4510

2555 Gulf Fwy S
C1 100 Memorial Hermann Emergency
League City, TX 77573-6742
Phone (713) 338-6565

32784 FM 2978 Rd
Magnolia, TX 77354-6039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Carenow Urgent Care PLLC CurrentSince Sep 18, 2024 Accepting new patients
The Urgent Care Associates of Texas, PLLC CurrentSince Jul 28, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Jan 13, 2025 Accepting new patients
Memorial Hermann Hospital Based Physician Group CurrentSince Jan 27, 2026 Accepting new patients
Unmc Physicians CurrentSince Apr 3, 2018 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
Brazos Hybrid Pharmacy LLC CurrentSince Jun 27, 2024 Accepting new patients
Woodlands Lone Star Emergency Physicians Group, PLLC CurrentSince Jul 28, 2024 Accepting new patients
Physicians Clinic Inc Nurse Practitioner CurrentSince Feb 1, 2021 Accepting new patients
St. David's Carenow Urgent Care PLLC CurrentSince Jan 30, 2025 Accepting new patients
Urgent Care Group LLC Past Accepting new patients
America's ER Site 001, LLC Past Accepting new patients
Encore Infusion Florida LLC PastSince Sep 1, 2022 Accepting new patients

Locations (25 of 26)

1307 Harlan Dr
Bellevue, NE 68005
Phone (402) 291-8701

2510 Bellevue Medical Center Dr
Ste 200
Bellevue, NE 68123
Phone (402) 595-1978

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

10710 Fort St
Omaha, NE 68134
Phone (402) 354-7500

2821 S 108th St
Omaha, NE 68144
Phone (402) 291-8701

325 N 72nd St
Omaha, NE 68114
Phone (402) 715-5272

988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010

Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731

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

5033 W Highway 290
Austin, TX 78735
Phone (512) 265-8980

5001 183A Toll Rd
Ste R100
Cedar Park, TX 78613
Phone (512) 595-7000

1150 W Dallas St
Conroe, TX 77301
Phone (281) 310-8445

3150 Gulf Fwy S
Dickinson, TX 77539
Phone (832) 720-6345

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

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

22430 Grand Corner Dr
#C1100
Katy, TX 77494

300 Northpark Dr
Kingwood, TX 77339
Phone (281) 310-8445

2555 Gulf Fwy S
#C1100
League City, TX 77573

10422 Research Forest Dr
Magnolia, TX 77354
Phone (281) 394-4936

32784 FM 2978 Rd
Magnolia, TX 77354
Phone (281) 789-3400

32784 FM 2978 Rd
#B
Magnolia, TX 77354
Phone (281) 789-3400

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

2907 Broadway St
Pearland, TX 77581
Phone (281) 925-1970

545 Minonite Rd
Ste 110
Rosenberg, TX 77469
Phone (832) 930-8399

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

Interoperability endpoints

  • Direct secure messaging: katie.kmiecik@direct.nmhs.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1629461280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23865 FM 1314 RD",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653727",
            "telephone_number": "281-354-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23865 FM 1314 RD",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653727",
            "telephone_number": "281-354-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KMIECIK",
        "first_name": "KATIE",
        "middle_name": "JO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1107048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "GAFFNEY",
            "middle_name": "JO",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Porter, TX

Sources for this page

Verify at the official NPI Registry.