Active NPI
Nicholette Kerr, BS, RDH
- Specialist
- Shenandoah, TX
National Provider Identifier
1881587889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 114 Vision Park Blvd Ste 200
Shenandoah, TX 77384-3008 - Phone
- (936) 321-1477
- NPI assigned
- May 30, 2025
- Last updated
- Jun 25, 2025
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
114 Vision Park Blvd Ste 200
Shenandoah, TX 77384-3008
Mailing address
1627 Andrew Chase LN
Spring, TX 77386-3633
Phone (936) 203-7986
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
- Credentials
- Bachelor of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1881587889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1627 ANDREW CHASE LN",
"city": "SPRING",
"state": "TX",
"postal_code": "773863633",
"telephone_number": "936-203-7986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 VISION PARK BLVD STE 200",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843008",
"telephone_number": "936-321-1477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "NICHOLETTE",
"credential": "BS, RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-30",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.