Kelley Cerasuolo, CPNP | |
200 Blossom St, Webster, TX 77598-4204 | |
(281) 204-1334 | |
(832) 632-2670 |
Full Name | Kelley Cerasuolo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 200 Blossom St, Webster, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841370277 | NPI | - | NPPES |
147339901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 681623 (Texas) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | AP111450 (Texas) | Primary |
Entity Name | Utmb Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Mailing Address | Practice Location Address |
---|---|
Kelley Cerasuolo, CPNP 6701 Fannin St, Houston, TX 77030-2316 Ph: (832) 822-3555 | Kelley Cerasuolo, CPNP 200 Blossom St, Webster, TX 77598-4204 Ph: (281) 204-1334 |
Mrs. Lauren Claunch, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 N Kobayashi Ste C, Webster, TX 77598 Phone: 281-747-9313 Fax: 281-724-0487 | |
Sarah Elizabeth Crawford, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 905 W Medical Center Blvd # 406, Webster, TX 77598 Phone: 281-322-3507 Fax: 821-572-8990 | |
Joshina Dass, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 W Medical Center Blvd Ste 101, Webster, TX 77598 Phone: 281-338-0700 Fax: 281-338-0722 | |
Eliana Victoria Jimenez, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Medical Center Blvd, Webster, TX 77598 Phone: 281-332-2511 | |
Kimberly Denise Vanpelt, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 W Medical Center Blvd, Webster, TX 77598 Phone: 281-332-2511 | |
Anastasia Stumpenhaus, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 495 W Medical Center Blvd, Webster, TX 77598 Phone: 281-332-7511 | |
Charmaine Ann Enerio, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 N Kobayashi Ste 208, Webster, TX 77598 Phone: 281-724-8180 Fax: 281-336-1171 |