MRS. KATHLEEN MARY VIVIAN (FNP) – Nurse Practitioner, NPI 1922166875

MRS. KATHLEEN MARY VIVIAN (FNP) is a healthcare provider. based in Georgetown, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP114861 (TX). The NPI Number for MRS. KATHLEEN MARY VIVIAN (FNP) is 1922166875

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHLEEN MARY VIVIAN (FNP)
NPI
1922166875
Phone
(512) 819-0500
Address
4945 WILLIAMS DR
Enumeration Date
4 December 2006
Last Update Date
1 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5128190500
Graduation Year
2005 (21 years ago)
PAC ID
2961638051
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20131120000151
Address ID
TX786332008GE4945XDRXX302

Contacts

Secure Messaging
kvivian1156484@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. KATHLEEN MARY VIVIAN (FNP)

  • 4945 WILLIAMS DR

    GEORGETOWN, TX 786332008

    Phone: (512) 819-0500

    Type: Location

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone:

    Type: Mailing

  • 2405, South Gessner Road, Houston, Harris County, Texas, 77063, United States

    SUITE B

    HOUSTON, TX 770632000

    Phone: (713) 266-7673

    Fax: (713) 266-4744

    Type: Location

  • 1254, Enclave Parkway, Nottingham Forest VIII, Houston, Harris County, Texas, 77077, United States

    HOUSTON, TX 770772564

    Phone: (888) 225-8097

    Fax: (262) 372-5574

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-01-26 • Largest payer in this snapshot: PFIZER INC. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$21
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131120000151INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes607536$0
99214Established patient office or other outpatient visit, 30-39 minutes190182$0
99212Established patient office or other outpatient visit, 10-19 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 78633)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

Does MRS. KATHLEEN MARY VIVIAN (FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. KATHLEEN MARY VIVIAN (FNP) uses 1922166875.
Does CMS list MRS. KATHLEEN MARY VIVIAN (FNP) as active?
Yes — MRS. KATHLEEN MARY VIVIAN (FNP) is active in the NPI listing used on this page.
What is MRS. KATHLEEN MARY VIVIAN (FNP) best known for clinically?
Directory data describes MRS. KATHLEEN MARY VIVIAN (FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. KATHLEEN MARY VIVIAN (FNP) list a practice location?
Patients near Georgetown, Texas may find MRS. KATHLEEN MARY VIVIAN (FNP) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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