Individual provider Active NPI

Kathryn L Sossen, FNP

  • Family Nurse Practitioner
  • College Station, TX
National Provider Identifier
1871984831
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125168 Issued in TX
Practice address
1730 Birmingham Dr
Suite 100
College Station, TX 77845-4063
Phone
(979) 774-7587
Fax
(979) 775-0388
NPI assigned
Feb 12, 2015
Last updated
Mar 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP125168 TX Primary

Addresses

Primary practice location

1730 Birmingham Dr
Suite 100
College Station, TX 77845-4063

Mailing address

1730 Birmingham Dr
Suite 100
College Station, TX 77845-4063
Phone (979) 774-7587

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
I20150629002742 TX Practitioner - Nurse Practitioner 7810209129 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP125168TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Pintado Clinic CurrentSince Feb 21, 2017 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince May 12, 2015 Accepting new patients
DHHS PHS Naihs Crownpoint Hospital Current Accepting new patients
Curana Health Medical Group LLC CurrentSince Jul 10, 2024 Accepting new patients
CH Specialty Services TX PLLC Family CurrentSince Jul 10, 2024 Accepting new patients
Century Integrated Partners, Inc CurrentSince Dec 11, 2017 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Thoreau Clinic CurrentSince Feb 21, 2017 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince May 12, 2015 Accepting new patients
Regional Employee Assistance Program Inc Past Accepting new patients

Locations

2849 Barron Rd
College Station, TX 77845
Phone (979) 207-6800

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1871984831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 BIRMINGHAM DR",
            "address_2": "SUITE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454063",
            "telephone_number": "979-774-7587",
            "fax_number": "979-775-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 BIRMINGHAM DR",
            "address_2": "SUITE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454063",
            "telephone_number": "979-774-7587",
            "fax_number": "979-775-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSSEN",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.