Individual provider Active NPI

Kourtney Tapnio

  • Psychiatric/Mental Health Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1720688930
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61227463 Issued in WA
Practice address
11929 University Blvd Ste 2B
Sugar Land, TX 77479-4757
Phone
(832) 780-3819
Fax
(832) 336-3905
NPI assigned
Oct 27, 2020
Last updated
Dec 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-4432 HI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0101798 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1036018 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61227463 WA Primary

Addresses

Primary practice location

11929 University Blvd Ste 2B
Sugar Land, TX 77479-4757

Mailing address

13500 W Airport Blvd
Sugar Land, TX 77498-6317
Phone (832) 780-3819

Other practice location 1

522 W Riverside Ave Ste N
Spokane, WA 99201-0580
Phone (832) 780-3819

Other practice location 2

100 Arapahoe Ave
Boulder, CO 80302-5854
Phone (832) 780-3819

Other practice location 3

1001 Bishop St Ste 2685A
Honolulu, HI 96813-3404
Phone (832) 780-3819

Other practice location 4

510 E Main Ste D
Puyallup, WA 98372-5612
Phone (832) 780-3819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, HI, CO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220324001946 TX Practitioner - Nurse Practitioner 2365837507 Reassigns benefits to 2 organizations
I20240808002831 WA Practitioner - Nurse Practitioner 2365837507 Reassigns benefits to 1 organization
I20250318003659 HI Practitioner - Nurse Practitioner 2365837507
I20250613000233 CO Practitioner - Nurse Practitioner 2365837507 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101798COMDPsychiatric/Mental Health Nurse Practitioner
1036018TXMDPsychiatric/Mental Health Nurse Practitioner
AP61227463WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Sep 25, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 2, 2024 Accepting new patients
Brightside Medical, P.C. Past Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1720688930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 W AIRPORT BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774986317",
            "telephone_number": "832-780-3819",
            "fax_number": "832-336-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11929 UNIVERSITY BLVD STE 2B",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794757",
            "telephone_number": "832-780-3819",
            "fax_number": "832-336-3905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 W Riverside Ave Ste N",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010580",
            "country_code": "US",
            "telephone_number": "832-780-3819",
            "fax_number": "832-336-3905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Arapahoe Ave",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803025854",
            "country_code": "US",
            "telephone_number": "832-780-3819",
            "fax_number": "832-336-3905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Bishop St Ste 2685A",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968133404",
            "country_code": "US",
            "telephone_number": "832-780-3819",
            "fax_number": "832-336-3905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 E Main Ste D",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983725612",
            "country_code": "US",
            "telephone_number": "832-780-3819",
            "fax_number": "832-336-3905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAPNIO",
        "first_name": "KOURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-4432",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0101798",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1036018",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61227463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.