Healthcare Provider Details

I. General information

NPI: 1528207149
Provider Name (Legal Business Name): KATHLEEN HOPE HELGESEN PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2009
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 E RICHARDS ST
TYLER TX
75702-6153
US

IV. Provider business mailing address

PO BOX 844273
DALLAS TX
75284-4273
US

V. Phone/Fax

Practice location:
  • Phone: 619-838-6855
  • Fax: 619-838-6855
Mailing address:
  • Phone: 903-535-9041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number20379
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number763951
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP117733
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: