Organization Active NPI

Kingwood Healing Hands Wound Care

  • Gerontology Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1780454124
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
KINGWOOD HEALING HANDS WOUND CARE
Practice address
855 Rockmead Dr Ste 603
Kingwood, TX 77339-2289
Phone
(832) 982-2234
Fax
(877) 495-4112
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Henrietta Valair Evans, DNPNPI 1366768277
Title
Ceo
Phone
(832) 982-2234

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X Primary

Addresses

Primary practice location

855 Rockmead Dr Ste 603
Kingwood, TX 77339-2289

Mailing address

855 Rockmead Dr Ste 603
Kingwood, TX 77339-2289
Phone (832) 982-2234

National Provider Directory

National Provider Directory

Locations

855 Rockmead Dr
Ste 603
Kingwood, TX 77339
Phone (832) 879-2107

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1780454124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 ROCKMEAD DR STE 603",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392289",
            "telephone_number": "832-982-2234",
            "fax_number": "877-495-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ROCKMEAD DR STE 603",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392289",
            "telephone_number": "832-982-2234",
            "fax_number": "877-495-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGWOOD HEALING HANDS WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-06",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "HENRIETTA",
        "authorized_official_middle_name": "VALAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-982-2234",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.