Individual provider Active NPI

Kaci Lee Cinnamon-Burton, FNP-C

  • Family Nurse Practitioner
  • Port Neches, TX
National Provider Identifier
1972917474
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125743 Issued in TX
Practice address
2246 Nall St
Port Neches, TX 77651-4208
Phone
(409) 344-4010
Fax
(409) 344-9147
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP125743 TX Primary

Addresses

Primary practice location

2246 Nall St
Port Neches, TX 77651-4208

Mailing address

2246 Nall St
Port Neches, TX 77651-4208
Phone (409) 344-4010

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
I20140909001531 TX Practitioner - Nurse Practitioner 1052530839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Port Neches Family MedicineGroup PAC ID 5991190944, 2 clinicians

Practice addresses (Care Compare)

2246 Nall St
Port Neches, TX 77651-4208
Phone (409) 344-4010

Hospital & facility affiliations

  • Southern Home Health Home health agency, Nederland, TX, CCN 679237
  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP125743TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Port Neches Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Mid County Urgent Care, PLLC CurrentSince Jul 4, 2014 Accepting new patients
Russell N. McDonald Past Accepting new patients

Locations

1908 Highway 365
Nederland, TX 77627
Phone (409) 729-1900

2246 Nall St
Port Neches, TX 77651
Phone (409) 344-4010

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1972917474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514208",
            "telephone_number": "409-344-4010",
            "fax_number": "409-344-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514208",
            "telephone_number": "409-344-4010",
            "fax_number": "409-344-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINNAMON-BURTON",
        "first_name": "KACI",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Neches, TX

Sources for this page

Verify at the official NPI Registry.