Kassondra Pruneda, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP141096 Issued in TX

Practice address

107 Yale St Ste 200
Houston, TX 77007-3754

Phone

(713) 561-3546

NPI assigned

Apr 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Blue Zone Health Medical - Katy, PLLC

  • Clinic/Center
  • Katy, TX
  • NPI 1144880592
  NPD (past)
• Blue Zone Precision Health Medical - Port Arthur, PLLC

  • Clinic/Center
  • Port Arthur, TX
  • NPI 1437719754
  NPD (past)

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1780146779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N LIVE OAK ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770031122",
            "telephone_number": "210-710-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 YALE ST STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073754",
            "telephone_number": "713-561-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUNEDA",
        "first_name": "KASSONDRA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Tekell Pruitt, LPC
• Marvin Earl Pruitt, LPC
• Melvin James Pruitt, FNP-C, FNP-BC
• Nichole L Pruitt
• Jedidah Prum
• Natalie Anahi Pruneda, DDS
• Robert S. Prus, M.D.
• Pry Chiropractic
• Holly Buchanan Pryor
• Howard I Pryor II, M.D.

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.