Active NPI
Kylie Brooke Yeckley, PA
- Physician Assistant
- Katy, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1331 W Grand Pwky N Suite 130
Katy, TX 77493-2711 - Phone
- (281) 392-3401
- Fax
- (281) 392-7814
- NPI assigned
- Aug 22, 2022
- Last updated
- Jan 11, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1331 W Grand Pwky N Suite 130
Katy, TX 77493-2711
Mailing address
1331 W Grand Pwky N
Suite 130
Katy, TX 77493-2711
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Texas Medical Branch at Galveston, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10496 Katy Fwy
Suite 130
Houston, TX 77043-5269
Phone (281) 392-3401
1331 W Grand Pkwy N
Katy, TX 77493-2711
Phone (281) 392-3401
18400 Katy Fwy
Suite 600
Houston, TX 77094-1296
Phone (713) 464-2928
25282 Northwest Fwy
Suite 250
Cypress, TX 77429-1084
Phone (281) 392-3401
6441 Main St
Houston, TX 77030-1502
Phone (713) 790-0841
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial City Cardiology Associates PA | Current | Accepting new patients | |
| Houston Cardiovascular Assoc PA | Current | Accepting new patients |
Locations
341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915
25282 Northwest Fwy
Ste 250
Cypress, TX 77429
Phone (281) 392-3401
18400 Katy Fwy
Ste 600
Houston, TX 77094
Phone (281) 392-3401
10496 Katy Fwy
Ste 130
Houston, TX 77043
Phone (281) 392-3401
6441 Main St
Houston, TX 77030
Phone (713) 790-0500
1331 W Grand Pkwy N
Ste 130
Katy, TX 77493
Phone (281) 392-3401
Interoperability endpoints
- kylie.yeckley@ushv.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Houston, TX
- NPI 1487746020
-
dba Cardiology Center of Houston
- Cardiovascular Disease Physician
- Katy, TX
- NPI 1538124458
-
- Cardiac Rehabilitation Registered Nurse
- Katy, TX
- NPI 1184428617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1972221372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 W GRAND PWKY N",
"address_2": "SUITE 130",
"city": "KATY",
"state": "TX",
"postal_code": "774932711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 W GRAND PWKY N SUITE 130",
"city": "KATY",
"state": "TX",
"postal_code": "774932711",
"telephone_number": "281-392-3401",
"fax_number": "281-392-7814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YECKLEY",
"first_name": "KYLIE",
"middle_name": "BROOKE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2023-01-11",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.