Individual provider Active NPI

Kasia Theriot, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1679117741
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143784 Issued in TX
Practice address
12435 Beechnut St Ste 101
Houston, TX 77072-3989
Phone
(832) 804-6666
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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 AP143784 TX Primary

Addresses

Primary practice location

12435 Beechnut St Ste 101
Houston, TX 77072-3989

Mailing address

15810 Belmar Heights Dr
Cypress, TX 77429-7819
Phone (850) 699-5739

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
I20250923002055 TX Practitioner - Nurse Practitioner 9234634148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 Vision Park Blvd
Suite 100
Shenandoah, TX 77384-3002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143784TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Procura Pain and Spine, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Procura Pain and Spine, PLLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

111 Vision Park Blvd
Ste 100
Shenandoah, TX 77384
Phone (281) 362-0006

Organizations & group practices 2

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": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1679117741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15810 BELMAR HEIGHTS DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774297819",
            "telephone_number": "850-699-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12435 BEECHNUT ST STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770723989",
            "telephone_number": "832-804-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIOT",
        "first_name": "KASIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.