Individual provider Active NPI

Kimberly Rachel Vossah, RN

  • Home Health Registered Nurse
  • Hitchcock, TX
National Provider Identifier
1780210310
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
7135911 Issued in TX
Practice address
6919 Overton St
Hitchcock, TX 77563-7756
Phone
(832) 564-9859
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 570911 TX
Home Health Registered Nurse 163WH0200X 911570 TX
Home Health Registered Nurse 163WH0200X 7135911 TX Primary

Addresses

Primary practice location

6919 Overton St
Hitchcock, TX 77563-7756

Mailing address

2515 Termini St Unit 1120
Dickinson, TX 77539-0749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
570911TXMDHome Health Registered Nurse
7135911TXMDHome Health Registered Nurse
911570TXMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1780210310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 TERMINI ST UNIT 1120",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775390749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 OVERTON ST",
            "city": "HITCHCOCK",
            "state": "TX",
            "postal_code": "775637756",
            "telephone_number": "832-564-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSSAH",
        "first_name": "KIMBERLY",
        "middle_name": "RACHEL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "570911",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "911570",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "7135911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hitchcock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.