Active NPI
Anna Kitabjian, NP
- Pediatric Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1058595
- Practice address
- 18200 Katy Fwy
Houston, TX 77094-1285 - Phone
- (832) 227-1000
- NPI assigned
- Jan 5, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 95007383 | CA | |
| Pediatrics Physician | 208000000X | 1058595 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | 95007383 | CA | |
| Pediatric Nurse Practitioner | 363LP0200X | 1058595 | TX | Primary |
Addresses
Primary practice location
18200 Katy Fwy
Houston, TX 77094-1285
Mailing address
18200 Katy Fwy
Houston, TX 77094-1285
Phone (832) 227-1000
Other practice location 1
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone (323) 361-2450
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95007383 | CA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Pediatrics | Current | Accepting new patients |
| Texas Children'S Hospital | Past | Accepting new patients | |
| Texas Childrens Hospital | Past | Accepting new patients |
Locations
18200 Katy Fwy
Houston, TX 77094
Phone (832) 227-1000
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
1102 Bates Ave
#1450
Houston, TX 77030
6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000
Interoperability endpoints
- akitabjian437603@prddirect.texaschildrens.org
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Children's Hospital
- Austin, TX
- NPI 1194507947
-
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
- NPI 1285403642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1982111431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18200 KATY FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770941285",
"telephone_number": "832-227-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18200 KATY FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770941285",
"telephone_number": "832-227-1000"
}
],
"practiceLocations": [
{
"address_1": "4650 W Sunset Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900276062",
"country_code": "US",
"telephone_number": "323-361-2450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KITABJIAN",
"first_name": "ANNA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-05",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "95007383",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "1058595",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95007383",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "1058595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.