Andrea Michelle Tellison, CEO

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

0065196 Issued in TX

Practice address

4415 Wavertree Dr
Missouri City, TX 77459-2949

Phone

(281) 499-8503

Fax

(281) 403-1421

NPI assigned

Feb 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043284847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 WAVERTREE DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592949",
            "telephone_number": "281-499-8503",
            "fax_number": "281-403-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 WAVERTREE DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592949",
            "telephone_number": "281-499-8503",
            "fax_number": "281-403-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLISON",
        "first_name": "ANDREA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "CEO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "TX",
            "license": "0065196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Home Modifications Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.