Individual provider Active NPI

Cloe Elizabeth Ann Kinnett, APRN- FNP

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1912517657
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
AP145514 Issued in TX
Practice address
1335 Regents Park Dr Ste 110
Houston, TX 77058-2541
Phone
(832) 464-4645
NPI assigned
Aug 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X AP145514 TX Primary

Addresses

Primary practice location

1335 Regents Park Dr Ste 110
Houston, TX 77058-2541

Mailing address

1227 Bowen Dr
League City, TX 77573-7395

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@clearlakeintegrativemedicine.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1912517657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 BOWEN DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775737395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 REGENTS PARK DR STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582541",
            "telephone_number": "832-464-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNETT",
        "first_name": "CLOE",
        "middle_name": "ELIZABETH ANN",
        "credential": "APRN- FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "AP145514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@clearlakeintegrativemedicine.com",
            "affiliation": "N",
            "address_1": "1335 Regents Park Dr Ste 110",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770582541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.