Individual provider Active NPI

Kathleen Vandegiessen, CNM MSN MBA

  • Midwife
  • Houston, TX
National Provider Identifier
1801990205
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
438110 Issued in TX
Practice address
7007 North Fwy
Suite 435
Houston, TX 77076-1324
Phone
(713) 699-4211
Fax
(713) 699-8996
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 438110 TX Primary

Addresses

Primary practice location

7007 North Fwy
Suite 435
Houston, TX 77076-1324

Mailing address

7007 North Fwy
Suite 435
Houston, TX 77076-1324
Phone (713) 699-4211

Other identifiers 2

IdentifierTypeStateIssuer
1801990205OtherTXNPI
090025002MedicaidTX

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160324001196 TX Practitioner - Certified Nurse Midwife (CNM) 1557668209 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3904 C N Shepherd Dr
Houston, TX 77018-6410
Phone (713) 699-4211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Business Administration, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
438110TXMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
North Houston Birth Center Past Accepting new patients
North Houston Womens Health Care Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1801990205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 NORTH FWY",
            "address_2": "SUITE 435",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761324",
            "telephone_number": "713-699-4211",
            "fax_number": "713-699-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 NORTH FWY",
            "address_2": "SUITE 435",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761324",
            "telephone_number": "713-699-4211",
            "fax_number": "713-699-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEGIESSEN",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "CNM MSN MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "TX",
            "license": "438110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801990205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090025002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.