Active NPI
Karen Theriot, NP
- Nurse Practitioner
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 584753
- Practice address
- 4046 Dowlen Rd
Beaumont, TX 77706-6849 - Phone
- (409) 225-5924
- Fax
- (406) 239-5454
- NPI assigned
- Jul 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 584753 | TX | Primary |
Addresses
Primary practice location
4046 Dowlen Rd
Beaumont, TX 77706-6849
Mailing address
4046 Dowlen Rd
Beaumont, TX 77706-6849
Phone (409) 225-5924
Other practice location 1
2955 Harrison St
Ste 307
Beaumont, TX 77702-1154
Phone (409) 899-7113
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Texas Medical Branch at Galveston, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4046 Dowlen Rd
Beaumont, TX 77706-6849
Phone (409) 225-5924
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 584753 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Port Arthur Emergency Physicians | Nurse Practitioner | Past | Accepting new patients |
Locations
4046 Dowlen Rd
Beaumont, TX 77706
Phone (409) 225-5924
4938 S Staples St
Ste E8
Corpus Christi, TX 78411
Phone (361) 452-9620
11823 Culebra Rd
Ste 105
San Antonio, TX 78253
Phone (210) 598-1517
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- ktheriot288850@christushealth.direct-ci.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Emergency Medicine Physician
- Port Arthur, TX
- NPI 1255491627
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1669760989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4046 DOWLEN RD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777066849",
"telephone_number": "409-225-5924",
"fax_number": "406-239-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4046 DOWLEN RD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777066849",
"telephone_number": "409-225-5924",
"fax_number": "406-239-5454"
}
],
"practiceLocations": [
{
"address_1": "2955 Harrison St",
"address_2": "Ste 307",
"address_purpose": "LOCATION",
"city": "Beaumont",
"state": "TX",
"postal_code": "777021154",
"country_code": "US",
"telephone_number": "409-899-7113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THERIOT",
"first_name": "KAREN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "584753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.