Active NPI
Nurse Practitioner Provider
- Health Service Clinic/Center
- Houston, TX
National Provider Identifier
1053624015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- NURSE PRACTITIONER PROVIDER
- Practice address
- 2626 S Loop W
350
Houston, TX 77054-2654 - Phone
- (713) 334-1003
- NPI assigned
- Jul 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rhonjean Gordon, RN-FNP-BC
- Title
- Nurse Practitioner
- Phone
- (281) 686-4469
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
2626 S Loop W
350
Houston, TX 77054-2654
Mailing address
16731 Bethan Glen LN
Houston, TX 77084-2651
Phone (281) 686-4469
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185033102 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1487729737
-
- Internal Medicine Physician
- Cypress, TX
- NPI 1144212978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279584000000",
"number": "1053624015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16731 BETHAN GLEN LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770842651",
"telephone_number": "281-686-4469",
"fax_number": "281-858-7618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 S LOOP W",
"address_2": "350",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542654",
"telephone_number": "713-334-1003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSE PRACTITIONER PROVIDER",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-20",
"last_updated": "2010-07-20",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "RHONJEAN",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "281-686-4469",
"authorized_official_credential": "RN-FNP-BC"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185033102",
"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 Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.