Active NPI
Katiuska Carolina Ponce Parra, SA-C
- Surgical Assistant
- Tomball, TX
National Provider Identifier
1972385490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 23-578
- Practice address
- 22518 Trailwood LN
Tomball, TX 77375-7127 - Phone
- (346) 257-1294
- NPI assigned
- Oct 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 23-578 | TX | Primary |
Addresses
Primary practice location
22518 Trailwood LN
Tomball, TX 77375-7127
Mailing address
22518 Trailwood LN
Tomball, TX 77375-7127
Phone (346) 257-1294
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23-578 | TX | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1972385490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22518 TRAILWOOD LN",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773757127",
"telephone_number": "346-257-1294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22518 TRAILWOOD LN",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773757127",
"telephone_number": "346-257-1294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONCE PARRA",
"first_name": "KATIUSKA",
"middle_name": "CAROLINA",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-18",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "23-578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.