Individual provider Active NPI

Desiree Bittner, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1043701113
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137605 Issued in TX
Practice address
20207 Chasewood Park Dr Ste 305
Houston, TX 77070-1442
Phone
(281) 290-0222
Fax
(281) 290-0233
NPI assigned
May 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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 AP137605 TX Primary

Addresses

Primary practice location

20207 Chasewood Park Dr Ste 305
Houston, TX 77070-1442

Mailing address

16145 Highway 105 W Ste 600
Montgomery, TX 77356-6069
Phone (936) 463-8104

Other practice location 1

455 School St Ste 11
Tomball, TX 77375-4595
Phone (281) 290-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137605TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1043701113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16145 HIGHWAY 105 W STE 600",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773566069",
            "telephone_number": "936-463-8104",
            "fax_number": "936-242-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20207 CHASEWOOD PARK DR STE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770701442",
            "telephone_number": "281-290-0222",
            "fax_number": "281-290-0233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 School St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773754595",
            "country_code": "US",
            "telephone_number": "281-290-0222",
            "fax_number": "281-290-0233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BITTNER",
        "first_name": "DESIREE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137605",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.