NPIMap

Organization Active NPI

Kjcares, PLLC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1740748813
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
KJCARES, PLLC
Practice address
2323 Polk St Apt 307
Houston, TX 77003-4407
Phone
(832) 855-2696
Fax
(713) 583-8095
NPI assigned
Mar 7, 2019
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Mary Kaburu, FNP-BCNPI 1316327026
Title
Family Nurse Practitioner
Phone
(832) 855-2696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

2323 Polk St Apt 307
Houston, TX 77003-4407

Mailing address

2450 Louisiana St Ste 400
Houston, TX 77006-2318
Phone (832) 855-2696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200708002171 TX Part B Supplier - Clinic/Group Practice 0941540975 Receives reassigned benefits from 13 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

2450 Louisiana St
#400748
Houston, TX 77006

2450 Louisiana St
Ste 400748
Houston, TX 77006

2650 Louisiana St
Houston, TX 77006

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1740748813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 LOUISIANA ST STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062318",
            "telephone_number": "832-855-2696",
            "fax_number": "713-583-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 POLK ST APT 307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770034407",
            "telephone_number": "832-855-2696",
            "fax_number": "713-583-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJCARES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "KABURU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "832-855-2696",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.