Active NPI
Anne Ndunge Ndolo, NP
- Adult Health Nurse Practitioner
- Houston, TX
National Provider Identifier
1023363264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2012005776
- Practice address
- 8511 S Sam Houston Pkwy E
Suite 101
Houston, TX 77075-4874 - Phone
- (713) 343-2301
- NPI assigned
- Jul 13, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2012005776 | TX | Primary |
Addresses
Primary practice location
8511 S Sam Houston Pkwy E
Suite 101
Houston, TX 77075-4874
Mailing address
8511 S Sam Houston Pkwy E
Suite 101
Houston, TX 77075-4874
Phone (713) 343-2301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311610501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012005776 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Associates of America-Texas, PLLC | Adult Health | Past | Accepting new patients |
| Geriatric Associates of America, P.a. | Adult Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Webster, TX
- NPI 1669682886
Adult Health
-
- Geriatric Medicine (Family Medicine) Physician
- Houston, TX
- NPI 1093768673
Adult Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396569600000",
"number": "1023363264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8511 S SAM HOUSTON PKWY E",
"address_2": "SUITE 101",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770754874",
"telephone_number": "713-343-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8511 S SAM HOUSTON PKWY E",
"address_2": "SUITE 101",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770754874",
"telephone_number": "713-343-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NDOLO",
"first_name": "ANNE",
"middle_name": "NDUNGE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-13",
"last_updated": "2014-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "2012005776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "311610501",
"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 Apr 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.