Kelley Cerasuolo, CPNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP111450 Issued in TX

Practice address

5600 S Willow Dr Ste 117
Houston, TX 77035-4721

Phone

(713) 723-5600

Fax

(713) 772-5602

NPI assigned

Oct 17, 2006

Last updated

Oct 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcerasuolopnp43364@direct.utmb.edu

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.

• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  Medicare reassignment NPD
• Topcare Medical Group Inc

  dba MD Kids Pediatrics

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1285016758
  NPD
• Topcare Medical Group Inc

  dba Clinicas Mi Doctor

  • Specialist
  • Dallas, TX
  • NPI 1730337163
  NPD
• Katahdin Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Houlton, ME
  • NPI 1376618546
  NPD
• Baylor College of Medicine

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1104867175
  NPD (past)
• Texas Children's Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  NPD (past)
• Westbury Pediatrics

  • Pediatrics Physician
  • Houston, TX
  • NPI 1740457050
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1841370277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 MERIT DR STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513126",
            "telephone_number": "972-957-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 S WILLOW DR STE 117",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770354721",
            "telephone_number": "713-723-5600",
            "fax_number": "713-772-5602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Blossom st",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984204",
            "country_code": "US",
            "telephone_number": "281-204-1334",
            "fax_number": "832-632-2670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302316",
            "country_code": "US",
            "telephone_number": "832-822-3555",
            "fax_number": "832-825-3308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERASUOLO",
        "first_name": "KELLEY",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP111450",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP111450",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147339901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabel Cepeda, NP-C
• William Cepeda, RPH
• Constance Elaine Cephus, NNP, CPNP
• Maria Agustina Cerana, M.D.
• Katie Cerar, MA, LPC-A
• Linda Kay Cerasuolo, MA CCC-SLP
• Alexia Cerda
• Corie Cerda, MAT, ATC, LAT
• George Cerda Jr.
• Mariana Cerda

• Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.