Organization Active NPI

Kacye M Vann Nurse Practitioner

  • Nurse Practitioner
  • Gainesville, TX
National Provider Identifier
1972187995
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
KACYE M VANN NURSE PRACTITIONER
Practice address
903 E Broadway St
Gainesville, TX 76240-4235
Phone
(940) 336-4584
NPI assigned
May 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Kacye M Vann, FNPNPI 1689279374
Title
Nurse Practitioner / Owner
Phone
(940) 641-3440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

903 E Broadway St
Gainesville, TX 76240-4235

Mailing address

903 E Broadway St
Gainesville, TX 76240-4235
Phone (940) 641-3440

Other practice location 1

1615 Hospital Blvd Ste A
Gainesville, TX 76240-2032
Phone (940) 641-3440

Other practice location 2

2024 W Highway 82
Gainesville, TX 76240-2051
Phone (940) 641-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211203001846 TX Part B Supplier - Clinic/Group Practice 7810387917 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, TX

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1972187995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 E BROADWAY ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404235",
            "telephone_number": "940-641-3440",
            "fax_number": "800-979-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 E BROADWAY ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404235",
            "telephone_number": "940-336-4584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 Hospital Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "TX",
            "postal_code": "762402032",
            "country_code": "US",
            "telephone_number": "940-641-3440",
            "fax_number": "940-641-3553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2024 W Highway 82",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "TX",
            "postal_code": "762402051",
            "country_code": "US",
            "telephone_number": "940-641-3440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KACYE M VANN NURSE PRACTITIONER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "KACYE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "NURSE PRACTITIONER / OWNER",
        "authorized_official_telephone_number": "940-641-3440",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.