Individual provider Active NPI

Catherine Kafundi Otule, RN, MSN, ANP-BC

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1780725093
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A0706384 Issued in TX
Practice address
12121 Richmond Ave Ste 212
Houston, TX 77082-2422
Phone
(281) 759-2273
Fax
(281) 759-0909
NPI assigned
Feb 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 A0706384 TX Primary

Addresses

Primary practice location

12121 Richmond Ave Ste 212
Houston, TX 77082-2422

Mailing address

12121 Richmond Ave Ste 212
Houston, TX 77082-2422
Phone (281) 759-2273

Other identifiers 3

IdentifierTypeStateIssuer
07182OtherTXLPN
6544718OtherTXTX BNE ADULT LICENSURE
A0706384OtherTXAANP CERTIFICATION

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
I20160606001361 TX Order and Referring Only - Nurse Practitioner 8224129101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
A0706384TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Access Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cotule20454@directhoustonmethodist.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780725093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE STE 212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822422",
            "telephone_number": "281-759-2273",
            "fax_number": "281-759-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 RICHMOND AVE STE 212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822422",
            "telephone_number": "281-759-2273",
            "fax_number": "281-759-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTULE",
        "first_name": "CATHERINE",
        "middle_name": "KAFUNDI",
        "credential": "RN, MSN, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "A0706384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN",
            "identifier": "07182",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BNE ADULT LICENSURE",
            "identifier": "6544718",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERTIFICATION",
            "identifier": "A0706384",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.