Katherine Ann Kunkle, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1015314 Issued in TX

Practice address

1500 Main St
South Houston, TX 77587-4252

Phone

(713) 946-7461

NPI assigned

Jan 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kkunkle92112@memorialhermann.direct-ci.com

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.

• Memorial Hermann Community Benefit Corporation

  dba Memorial Hermann Health Centers for Schools--WAVE Clinic

  • Primary Care Clinic/Center
  • South Houston, TX
  • NPI 1275817504
  NPD (past)

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1942830211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 N CARLSBAD LN",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775366080",
            "telephone_number": "281-299-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MAIN ST",
            "city": "SOUTH HOUSTON",
            "state": "TX",
            "postal_code": "775874252",
            "telephone_number": "713-946-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKLE",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2022-05-02",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1015314",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1015314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20038551",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huston Dentistry PC (Prio Dental)
• Crystal Islas
• Jaeyoon Jeong
• Olatokunbo Kappo
• Kool Shades (Iz Optical)
• Memorial Hermann Community Benefit Corporation (Memorial Hermann Health Centers for Schools--WAVE Clinic)
• Stephanie Mendoza, MS, RDN, LD
• Mary Fathy Fawzy Morcos
• Radcliffe Myers, FNP-BC
• Michelle Nelson, ATC, LAT

• Family Nurse Practitioner in South Houston, TX
• Providers in South Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.