Individual provider Active NPI

Neelam Noorali Momin, APRN, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1013425321
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134659 Issued in TX
Practice address
11511 Veterans Memorial Dr # 3
Houston, TX 77067-2611
Phone
(281) 444-7726
NPI assigned
Jan 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134659 TX Primary

Addresses

Primary practice location

11511 Veterans Memorial Dr # 3
Houston, TX 77067-2611

Mailing address

13711 Coldfall CT
Richmond, TX 77407-3308
Phone (832) 282-6901

Other practice location 1

13711 Coldfall Ct
Richmond, TX 77407-3308
Phone (832) 282-6901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190809002815 TX Practitioner - Nurse Practitioner 0749517928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP134659TXMDFamily Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGGBDA/Endpoint/AGGBDA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013425321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13711 COLDFALL CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073308",
            "telephone_number": "832-282-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 VETERANS MEMORIAL DR # 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770672611",
            "telephone_number": "281-444-7726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13711 Coldfall Ct",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774073308",
            "country_code": "US",
            "telephone_number": "832-282-6901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOMIN",
        "first_name": "NEELAM",
        "middle_name": "NOORALI",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.