Individual provider Active NPI

Racheal Forghab Kedze, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1700443736
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1088598 Issued in TX
Practice address
8603 N Loop 1604 W
San Antonio, TX 78249-2601
Phone
(515) 422-8448
NPI assigned
May 24, 2019
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1088598 TX Primary
Home Health Registered Nurse 163WH0200X 942000 TX

Addresses

Primary practice location

8603 N Loop 1604 W
San Antonio, TX 78249-2601

Mailing address

8603 N Loop 1604 W
San Antonio, TX 78249-2601
Phone (515) 422-8448

Other practice location 1

8603 N Loop 1604 W
San Antonio, TX 78249-2601
Phone (515) 422-8448

Other identifiers 1

IdentifierTypeStateIssuer
7L7385OtherTXMEDICARE

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
I20220927002280 TX Practitioner - Nurse Practitioner 9537545645 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Psychcare of San Antonio I PLLCGroup PAC ID 8628241544, 13 clinicians

Practice addresses (Care Compare)

2161 NW Military Hwy
Suite 202
San Antonio, TX 78213-1844
Phone (210) 960-9255

821 US Hwy 81 W
Colonial Manor Care Center
New Braunfels, TX 78130-5741
Phone (830) 625-7526

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
942000TXMDHome Health Registered Nurse
1088598TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychcare of San Antonio I, PLLC Psychiatric/Mental Health CurrentSince Sep 12, 2022 Accepting new patients
Grand Vista Behavioral Health Center LLC CurrentSince Mar 2, 2023 Accepting new patients
Light of Hope Health Services Inc CurrentSince Feb 23, 2025 Accepting new patients
Sehndem Behavioral Health Care Center LLC Psychiatric/Mental Health CurrentSince Apr 2, 2025 Accepting new patients

Locations

1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900

4314 Yoakum Blvd
Houston, TX 77006
Phone 7138500049207

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (281) 759-2900

821 US Highway 81 W
New Braunfels, TX 78130
Phone (830) 606-2244

2161 NW Military Hwy
Ste 202
San Antonio, TX 78213
Phone (210) 960-9255

5027 Pecan Grove Blvd
San Antonio, TX 78222
Phone (210) 333-6815

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1700443736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8603 N LOOP 1604 W",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492601",
            "telephone_number": "515-422-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8603 N LOOP 1604 W",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492601",
            "telephone_number": "515-422-8448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8603 N Loop 1604 W",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782492601",
            "country_code": "US",
            "telephone_number": "515-422-8448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEDZE",
        "first_name": "RACHEAL",
        "middle_name": "FORGHAB",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1088598",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "942000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "7L7385",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.