Individual provider Active NPI

Katie J Vichensont, APRN-CNP

  • Family Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1699452276
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1113468 Issued in TX
Practice address
3737 Red Bluff Rd # 150
Pasadena, TX 77503-3307
Phone
(409) 266-1888
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1113468 TX
Family Nurse Practitioner 363LF0000X 1113468 TX Primary

Addresses

Primary practice location

3737 Red Bluff Rd # 150
Pasadena, TX 77503-3307

Mailing address

950 Fisher St Unit D
Houston, TX 77018-5367
Phone (254) 423-9201

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
I20230816003669 TX Practitioner - Nurse Practitioner 4284096652 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1113468TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice CurrentSince Aug 11, 2023 Accepting new patients
University of Texas Medical Branch at Galveston PastSince Aug 11, 2023 Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

195 N 11th St
Beaumont, TX 77702
Phone (409) 838-0045

701 E Davis St
Ste A
Conroe, TX 77301
Phone (936) 525-2800

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

3737 Red Bluff Rd
#150
Pasadena, TX 77503
Phone (713) 473-5180

9300 Emmett F Lowry Expy
Ste 138
Texas City, TX 77591
Phone (409) 486-9686

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1699452276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 FISHER ST UNIT D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770185367",
            "telephone_number": "254-423-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 RED BLUFF RD # 150",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775033307",
            "telephone_number": "409-266-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICHENSONT",
        "first_name": "KATIE",
        "middle_name": "J",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1113468",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1113468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.