Individual provider Active NPI

Kraiwit Kraisirisophon

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1811708761
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1083779 Issued in TX
Practice address
2006 Commonwealth St Ste 100
Houston, TX 77006-1804
Phone
(832) 330-4536
Fax
(713) 512-5163
NPI assigned
Jan 17, 2025
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 58310 HI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1083779 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 409167 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 70107483 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11046516 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 89175 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 337993 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10058155 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 252455 AK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0106331 CO
Registered Nurse 163W00000X 1083779 TX

Addresses

Primary practice location

2006 Commonwealth St Ste 100
Houston, TX 77006-1804

Mailing address

2006 Commonwealth St Ste 100
Houston, TX 77006-1804
Phone (832) 330-4536

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

State licenses

LicenseStateTypeSpecialty
1083779TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kairos Psychiatry PLLC Psychiatric/Mental Health Past Accepting new patients

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": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1811708761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 COMMONWEALTH ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061804",
            "telephone_number": "832-330-4536",
            "fax_number": "713-512-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 COMMONWEALTH ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061804",
            "telephone_number": "832-330-4536",
            "fax_number": "713-512-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAISIRISOPHON",
        "first_name": "KRAIWIT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-17",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "58310",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1083779",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "409167",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "70107483",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11046516",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "89175",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "337993",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10058155",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "252455",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0106331",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1083779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; 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.