Active NPI
Theodora Alice Kawszan, NURSE PRACTITIONER
- Nurse Practitioner
- Sugarland, TX
National Provider Identifier
1851048151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP137490
- Practice address
- 16605 Southwest Freeway, Suite 175
Sugarland, TX 77479 - Phone
- (281) 302-5673
- NPI assigned
- Mar 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP137490 | TX | Primary |
Addresses
Primary practice location
16605 Southwest Freeway, Suite 175
Sugarland, TX 77479
Mailing address
PO Box 20547
Houston, TX 77225
Phone (832) 544-1056
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP137490 | TX | MD | Nurse Practitioner |
Interoperability endpoints
- tkawszan409394@directhoustonmethodist.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1851048151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20547",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77225",
"telephone_number": "832-544-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16605 SOUTHWEST FREEWAY, SUITE 175",
"city": "SUGARLAND",
"state": "TX",
"postal_code": "77479",
"telephone_number": "281-302-5673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAWSZAN",
"first_name": "THEODORA",
"middle_name": "ALICE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-07",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP137490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugarland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.