Active NPI
Cathy Kekeocha
- Medical Laboratory Technician
- Beaumont, TX
National Provider Identifier
1891085197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Laboratory Technician
- License
- 45D2057150
- Practice address
- 5755 College St Ste C
Beaumont, TX 77707-3518 - Phone
- (832) 326-2010
- Fax
- (888) 566-4246
- NPI assigned
- Apr 8, 2011
- Last updated
- Jul 10, 2013
- 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 |
|---|---|---|---|---|
| Medical Laboratory Technician | 246RM2200X | 45D2057150 | TX | Primary |
Addresses
Primary practice location
5755 College St Ste C
Beaumont, TX 77707-3518
Mailing address
1626 Havelock Dr
The Woodlands, TX 77386
Phone (832) 326-2010
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 |
|---|---|---|---|
| 45D2057150 | TX | MD | Medical Laboratory Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nayobi Health Services LLC | Past | Accepting new patients | |
| Nayobi Healthcare Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Houston, TX
- NPI 1801140595
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Spring, TX
- NPI 1104253053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1891085197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 HAVELOCK DR",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77386",
"telephone_number": "832-326-2010",
"fax_number": "888-566-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5755 COLLEGE ST STE C",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777073518",
"telephone_number": "832-326-2010",
"fax_number": "888-566-4246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEKEOCHA",
"first_name": "CATHY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-08",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": "TX",
"license": "45D2057150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.