Individual provider Active NPI

Kayeeta Vernetta Lewis, F05200254, AP146169

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1851915367
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05200254 Issued in TX
Practice address
5144 E Sam Houston Pkwy N Ste 121
Houston, TX 77015-3225
Phone
(713) 253-5319
Fax
(888) 509-1499
NPI assigned
Jun 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 146169 TX
Family Nurse Practitioner 363LF0000X F05200254 TX Primary

Addresses

Primary practice location

5144 E Sam Houston Pkwy N Ste 121
Houston, TX 77015-3225

Mailing address

5144 E Sam Houston Pkwy N Ste 121
Houston, TX 77015-3225
Phone (713) 253-5319

Other names 1

  • Kayeeta Vernetta Sauls Former name

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
I20201216000628 TX Practitioner - Nurse Practitioner 1850703844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5144 E Sam Houston Pkwy N
Suite 122 124
Houston, TX 77015-3225
Phone (281) 978-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
146169TXMDGeneral Practice Registered Nurse
F05200254TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Exact Science for Health, LLC Family CurrentSince Apr 24, 2024 Accepting new patients

Locations

5144 E Sam Houston Pkwy N
Ste 121
Houston, TX 77015
Phone (713) 253-5319

5144 E Sam Houston Pkwy N
Ste 122
Houston, TX 77015

5144 E Sam Houston Pkwy N
Houston, TX 77015
Phone (832) 474-2147

5144 E Sam Houston Pkwy N
Ste 122124
Houston, TX 77015
Phone (281) 978-1010

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1851915367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5144 E SAM HOUSTON PKWY N STE 121",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153225",
            "telephone_number": "713-253-5319",
            "fax_number": "888-509-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5144 E SAM HOUSTON PKWY N STE 121",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153225",
            "telephone_number": "713-253-5319",
            "fax_number": "888-509-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KAYEETA",
        "middle_name": "VERNETTA",
        "name_prefix": "Mrs.",
        "credential": "F05200254, AP146169",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "146169",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F05200254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYEETA",
            "last_name": "SAULS",
            "middle_name": "VERNETTA",
            "credential": "FNP, APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.