Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenny Chrysostome

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1407569817

Kenny Chrysostome is a Nurse Practitioner in Missouri City, Texas. Qualified in 2022, 4 years ago. Licensed in Florida, Georgia, Illinois and Indiana and 5 more.

Years since qualifying
4
Licensed in
FL, GA, IL, IN, KS, ME
In the registry since
2022
Specialties on file
9
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Practice location Address checks out

4810 Riverstone Blvd Ste 100
Missouri City, TX 77459-4092
Phone: (877) 744-6483
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11042205 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence NP004147 (GA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence SP035653 (PA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence CNP251894 (ME)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 5385388081 (KS)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 71017854A (IN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 0041464 (OH)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 2026018306 (MO)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209035574 (IL)

Record details

NPI number1407569817
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 30, 2022
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address115 Jay Ct, Royal Palm Beach, FL 33411-1723

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Missouri City