Individual provider Active NPI

Dionne Ladonna Massiah, NP

  • Adult Health Nurse Practitioner
  • Montgomery, TX
National Provider Identifier
1023379666
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1057336 Issued in TX
Practice address
795 Fish Creek Thoroughfare Ste 270
Montgomery, TX 77316-6960
Phone
(936) 436-8121
Fax
(936) 436-8114
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X F340715-1 NY
Primary Care Nurse Practitioner 363LP2300X 1057336 TX
Adult Health Nurse Practitioner 363LA2200X 1057336 TX Primary

Addresses

Primary practice location

795 Fish Creek Thoroughfare Ste 270
Montgomery, TX 77316-6960

Mailing address

795 Fish Creek Thoroughfare Ste 270
Montgomery, TX 77316-6960
Phone (936) 436-8121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200225000277 NY Practitioner - Nurse Practitioner 6608203088 Reassigns benefits to 1 organization
I20231129001342 TX Practitioner - Nurse Practitioner 6608203088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Davam Family Medicine PLLCGroup PAC ID 1355780834, 5 clinicians

Practice addresses (Care Compare)

6018 FM 1488 Rd
Magnolia, TX 77354-2542
Phone (713) 487-3090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F340715-1NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Davam Family Medicine PLLC CurrentSince Jul 12, 2025 Accepting new patients
North Shore-Lij Medical PC CurrentSince Dec 30, 2019 Accepting new patients
Pulse Physician Organization PLLC CurrentSince Aug 1, 2023 Accepting new patients
Pulse Healthcare System LLC PastSince Oct 20, 2025 Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

2502 Canal St
Houston, TX 77003
Phone (713) 224-0555

119 Medical Park Ln
Ste D
Huntsville, TX 77340
Phone (936) 277-1000

6018 FM 1488 Rd
Magnolia, TX 77354
Phone (713) 487-3031

795 Fish Creek Thoroughfare
Ste 270
Montgomery, TX 77316
Phone (936) 436-8121

25420 Kuykendahl Rd
Ste 800
Tomball, TX 77375
Phone (346) 794-0001

Interoperability endpoints

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

Organizations & group practices 4

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1023379666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 FISH CREEK THOROUGHFARE STE 270",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773166960",
            "telephone_number": "936-436-8121",
            "fax_number": "936-436-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 FISH CREEK THOROUGHFARE STE 270",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773166960",
            "telephone_number": "936-436-8121",
            "fax_number": "936-436-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIAH",
        "first_name": "DIONNE",
        "middle_name": "LADONNA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340715-1",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1057336",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1057336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

Verify at the official NPI Registry.