KELLUM ROBERT TICE NP
NPI 1295098085
Nurse Practitioner in Cypress, TX

Active since June 18, 2012
21214 NORTHWEST FWY, CYPRESS, TX 77429(832) 912-3500 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kellum Robert Tice Np NPPES

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

KELLUM ROBERT TICE NP (NPI 1295098085) is an individual nurse practitioner in Cypress, Texas, licensed in Texas (730287) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1295098085
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKELLUM ROBERT TICECredential: NP
Location Address21214 NORTHWEST FWYCypress, TX 77429-3373
Mailing Address9301 S Western AveOklahoma City, OK 73139-2767 · (866) 321-8433
Sole ProprietorNo
Enumeration DateJune 18, 2012
Last NPPES UpdateJune 19, 2012
NPI 1295098085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TX · 730287
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
21214 NORTHWEST FWY, Cypress, TX 77429

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
21214 NORTHWEST FWY, SUITE 220
CYPRESS, TX 77429
Radiology (Diagnostic Radiology)
21214 NORTHWEST FWY, SUITE 220
CYPRESS, TX 77429
Radiology (Diagnostic Radiology)
21214 NORTHWEST FWY
CYPRESS, TX 77429
Nurse Practitioner (Family)
21214 NORTHWEST FWY
CYPRESS, TX 77429
Nurse Practitioner (Acute Care)
21214 NORTHWEST FWY
CYPRESS, TX 77429
Emergency Medicine
21214 NORTHWEST FWY, EMERGENCY DEPARTMENT
CYPRESS, TX 77429
Family Medicine
21214 NORTHWEST FWY
CYPRESS, TX 77429
Pathology (Anatomic Pathology & Clinical Pathology)
21214 NORTHWEST FWY
CYPRESS, TX 77429

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 Kellum Tice's NPI number?

The NPI number for Kellum Tice is 1295098085. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Kellum Tice located?

Kellum Tice practices at 21214 Northwest Fwy, Cypress, TX 77429. The listed phone number is (832) 912-3500.

What is Kellum Tice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kellum Tice was last updated on June 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.