Individual provider Active NPI

Rhonda A Hunsucker, A/GNP-C

  • Gerontology Nurse Practitioner
  • Katy, TX
National Provider Identifier
1962415638
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
541671 Issued in TX
Practice address
24275 Katy Fwy Ste 400
Katy, TX 77494-7267
Phone
(346) 387-7171
Fax
(844) 703-5305
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 541671 TX
Gerontology Nurse Practitioner 363LG0600X 541671 TX Primary

Addresses

Primary practice location

24275 Katy Fwy Ste 400
Katy, TX 77494-7267

Mailing address

24275 Katy Fwy Ste 400
Katy, TX 77494-7267
Phone (346) 387-7171

Other practice location 1

1480 Katy Flewellen Rd
Katy, TX 77494-6631
Phone (713) 723-9068

Other practice location 2

1480 Katy Flewellen Rd
Katy, TX 77494-6631
Phone (713) 723-9068

Other identifiers 2

IdentifierTypeStateIssuer
NP7226OtherTXBCBS PROVIDER NUMBER
179254102MedicaidTX

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
I20040716000986 TX Practitioner - Nurse Practitioner 3577542182 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
541671TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Geriatrics Inc Adult Health CurrentSince Dec 1, 2006 Accepting new patients
Geriatric Associates of America-Texas, PLLC Adult Health Past Accepting new patients
Geriatric Associates of America, P.a. Adult Health PastSince Feb 28, 2005 Accepting new patients

Locations

24275 Katy Fwy
Ste 400
Katy, TX 77494
Phone (346) 387-7171

24285 Katy Fwy
Ste 300
Katy, TX 77494
Phone (346) 387-7171

1480 Katy Flewellen Rd
Katy, TX 77494
Phone (281) 394-0088

1405 Valhalla Dr
Wharton, TX 77488
Phone (713) 723-9068

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962415638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24275 KATY FWY STE 400",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947267",
            "telephone_number": "346-387-7171",
            "fax_number": "844-703-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24275 KATY FWY STE 400",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947267",
            "telephone_number": "346-387-7171",
            "fax_number": "844-703-5305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1480 Katy Flewellen Rd",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774946631",
            "country_code": "US",
            "telephone_number": "713-723-9068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1480 Katy Flewellen Rd",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774946631",
            "country_code": "US",
            "telephone_number": "713-723-9068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNSUCKER",
        "first_name": "RHONDA",
        "middle_name": "A",
        "credential": "A/GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "541671",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "541671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "NP7226",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179254102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.