Individual provider Active NPI

Kami Wasilewski, NP

  • Family Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1669842613
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140914 Issued in TX
Practice address
2807 Kings Crossing Dr Ste 2323
Kingwood, TX 77345-5528
Phone
(281) 706-9232
Fax
(844) 899-4223
NPI assigned
Oct 3, 2015
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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 AP140914 TX Primary

Addresses

Primary practice location

2807 Kings Crossing Dr Ste 2323
Kingwood, TX 77345-5528

Mailing address

2811 Foster Hill Dr
Kingwood, TX 77345-2548
Phone (404) 803-1680

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
I20200922000461 TX Practitioner - Nurse Practitioner 0446553440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Lady With the Lamp PLLCGroup PAC ID 6002128626, 3 clinicians

Practice addresses (Care Compare)

2807 Kings Crossing Dr
Suite 2323
Kingwood, TX 77345-5528
Phone (281) 354-1234

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Lady With the Lamp PLLC CurrentSince Aug 22, 2020 Accepting new patients

Locations

2807 Kings Crossing Dr
Ste 2323
Kingwood, TX 77345
Phone (281) 354-1234

3007 Woodland Hills Dr
Kingwood, TX 77339

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1443830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1669842613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 FOSTER HILL DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452548",
            "telephone_number": "404-803-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 KINGS CROSSING DR STE 2323",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773455528",
            "telephone_number": "281-706-9232",
            "fax_number": "844-899-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASILEWSKI",
        "first_name": "KAMI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.