Active NPI
Priscilla A Timoh, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Richmond, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1061201
- Practice address
- 7023 Tallow Knoll LN
Richmond, TX 77407-7843 - Phone
- (240) 547-8312
- NPI assigned
- Nov 15, 2012
- Last updated
- Oct 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1061201 | TX | Primary |
| Home Health Aide | 374U00000X | NU |
Addresses
Primary practice location
7023 Tallow Knoll LN
Richmond, TX 77407-7843
Mailing address
7023 Tallow Knoll LN
Richmond, TX 77407-7843
Phone (240) 547-8312
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2222 W Spring Creek Pkwy
Suite 116
Plano, TX 75023-4508
Phone (844) 824-8775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primic Palliative Hospice Care Inc | Current | Accepting new patients | |
| A & S Hospice and Palliative Care LLC | Current | Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Wah Psychiatrist PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Progressive Behavioral Health, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Mava Healthcare System LLC | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078
700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391
23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500
18230 FM 1488 Rd
Ste 201
Magnolia, TX 77354
Phone (832) 810-0200
2222 W Spring Creek Pkwy
Ste 116
Plano, TX 75023
Phone (972) 964-3214
25319 Interstate 45
Ste 100
Spring, TX 77380
Phone (832) 810-0200
Interoperability endpoints
- lifestancehealth.priscilliaomoleme@136732.advancedmd-direct.com
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Always Here Hospice and Palliative Care LLC | Hospice | Corporate Director W-2 Managing Employee |
Mar 17, 2023 Mar 17, 2023 |
| Primic Palliative Hospice Care Inc | Hospice | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer W-2 Managing Employee |
Aug 25, 2022 Aug 25, 2022 Aug 25, 2022 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1760953525
Corporate Director, W-2 Managing Employee
-
- Community Based Hospice Care Agency
- Stafford, TX
- NPI 1194445973
5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifeStance Health
- Mental Health Counselor
- Friendswood, TX
- NPI 1659567238
Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spring, TX
- NPI 1942854583
-
- Psychiatric/Mental Health Nurse Practitioner
- Stafford, TX
- NPI 1518665611
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
Psychiatric/Mental Health, TX
-
dba A & Hospice
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1225696693
-
- Community Based Hospice Care Agency
- Stafford, TX
- NPI 1194445973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1043554991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7023 TALLOW KNOLL LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774077843",
"telephone_number": "240-547-8312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7023 TALLOW KNOLL LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774077843",
"telephone_number": "240-547-8312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMOH",
"first_name": "PRISCILLA",
"middle_name": "A",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1061201",
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.