Active NPI
Elisa Dang, APRN, CPNP
- Pediatric Nurse Practitioner
- Houston, TX
National Provider Identifier
1013347210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP112506
- Practice address
- 2323 Wirt Rd Ste F8
Houston, TX 77055-1232 - Phone
- (713) 467-4900
- Fax
- (713) 467-6006
- NPI assigned
- Nov 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 675784 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | AP112506 | TX | Primary |
Addresses
Primary practice location
2323 Wirt Rd Ste F8
Houston, TX 77055-1232
Mailing address
2323 Wirt Rd Ste F8
Houston, TX 77055-1232
Phone (713) 467-4900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 675784 | Other | TX | TEXAS BOARD OF NURSING RN |
| 5069 | Other | TX | PRESCRIPTIVE AUTHORITY |
| AP112506 | Other | TX | TEXAS BOARD OF NURSING APRN |
| 20030431 | Other | TX | PEDIATRIC NURSING CERTIFICATION BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 675784 | TX | MD | Pediatric Nurse Practitioner |
| AP112506 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica la Salud PLLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADCFCA/Endpoint/ADCFCA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1013347210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 WIRT RD STE F8",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770551232",
"telephone_number": "713-467-4900",
"fax_number": "713-467-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 WIRT RD STE F8",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770551232",
"telephone_number": "713-467-4900",
"fax_number": "713-467-6006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "ELISA",
"name_prefix": "Mrs.",
"credential": "APRN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-25",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "675784",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP112506",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF NURSING RN",
"identifier": "675784",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESCRIPTIVE AUTHORITY",
"identifier": "5069",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF NURSING APRN",
"identifier": "AP112506",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEDIATRIC NURSING CERTIFICATION BOARD",
"identifier": "20030431",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.