Individual provider Active NPI

Kiely Alexis Whitham, NP

  • Adult Health Nurse Practitioner
  • Humble, TX
National Provider Identifier
1730705252
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP144818 Issued in TX
Practice address
18955 N Memorial Dr Ste 360
Humble, TX 77338-4396
Phone
(281) 319-8530
NPI assigned
Jun 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP144818 TX Primary

Addresses

Primary practice location

18955 N Memorial Dr Ste 360
Humble, TX 77338-4396

Mailing address

920 Frostwood Dr Ste 2.300
Houston, TX 77024-2314

Other practice location 1

22999 US 59 N
Kingwood, TX 77339
Phone (713) 409-1501

Other practice location 2

6565 Fannin St
Houston, TX 77030-2703
Phone (713) 409-1501

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
I20201118002624 TX Practitioner - Nurse Practitioner 1355752536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Physicians of TexasGroup PAC ID 1557254968, 113 clinicians

Practice addresses (Care Compare)

18951 N Memorial Dr
Humble, TX 77338-4217
Phone (281) 540-8409

18955 N Memorial Dr
Suite 360
Humble, TX 77338-4396
Phone (281) 319-8530

Hospital & facility affiliations

  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144818TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Aug 18, 2020 Accepting new patients
Memorial Hermann Neighborhood Health Centers, PLLC Current Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 18, 2020 Accepting new patients
MHS Physicians of Texas CurrentSince Jul 1, 2025 Accepting new patients
MHS Physicians of Texas CurrentSince Jul 1, 2025 Accepting new patients
Specialty Associates of West Houston PLLC PastSince Sep 1, 2020 Accepting new patients

Locations

920 Frostwood Dr
Ste 2300
Houston, TX 77024
Phone (713) 338-5519

6560 Fannin St
Ste 802
Houston, TX 77030
Phone (713) 441-3333

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530

10905 Memorial Hermann Dr
Ste 111
Pearland, TX 77584
Phone (281) 929-4727

17510 W Grand Pkwy S
Ste 330
Sugar Land, TX 77479
Phone (281) 238-3770

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: kwhitham739259@memorialhermann.direct-ci.com
  • Direct secure messaging: kwhitham173241@directhoustonmethodist.org

Organizations & group practices 6

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.

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": "1592611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1730705252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 FROSTWOOD DR STE 2.300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18955 N MEMORIAL DR STE 360",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384396",
            "telephone_number": "281-319-8530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22999 US 59 N",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "77339",
            "country_code": "US",
            "telephone_number": "713-409-1501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302703",
            "country_code": "US",
            "telephone_number": "713-409-1501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITHAM",
        "first_name": "KIELY",
        "middle_name": "ALEXIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-20",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP144818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.