KATRINA THEDE MD
NPI 1124644497
Student in an Organized Health Care Education/Training Program in Houston, TX

Active since June 22, 2020PECOS Enrolled
6560 FANNIN ST STE 2200, HOUSTON, TX 77030(713) 363-7588 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2026, Sep 3, 2020, Jun 22, 2020 (3 updates tracked since 2020).

About Katrina Thede Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATRINA THEDE MD (NPI 1124644497) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124644497
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATRINA THEDECredential: MD
Location Address6560 FANNIN ST STE 2200Houston, TX 77030-2715
Mailing Address6560 Fannin St Ste 2200Houston, TX 77030-2715 · (713) 363-7588
Sole ProprietorNo
Enumeration DateJune 22, 2020
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
NPI 1124644497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSurgeryTaxonomy 208600000X · License 284890 (MA), 01091465A (IN)
6560 FANNIN ST STE 2200, Houston, TX 77030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katrina Thede Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Plastic and Reconstructive Surgery)
6560 FANNIN ST STE 2200
HOUSTON, TX 77030
Nurse Practitioner
6560 FANNIN ST STE 2200
HOUSTON, TX 77030
Plastic Surgery
6560 FANNIN ST STE 2200
HOUSTON, TX 77030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katrina Thede's NPI number?

The NPI number for Katrina Thede is 1124644497. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Katrina Thede located?

Katrina Thede practices at 6560 Fannin St Ste 2200, Houston, TX 77030. The listed phone number is (713) 363-7588.

What is Katrina Thede's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Katrina Thede enrolled in Medicare?

Yes. Katrina Thede is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katrina Thede was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.