Organization Active NPI

Holiday's Family Medical Clinic

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1053823344
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130367 Issued in TX
Legal business name
HOLIDAY'S FAMILY MEDICAL CLINIC
Practice address
16300 Kuykendahl Rd Ste 410
Houston, TX 77068-2751
Phone
(832) 286-4459
Fax
(832) 286-4361
NPI assigned
Oct 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Lisa H Harmon, FNPNPI 1376902023
Title
Owner
Phone
(832) 286-4459

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP130367 TX Primary

Addresses

Primary practice location

16300 Kuykendahl Rd Ste 410
Houston, TX 77068-2751

Mailing address

16300 Kuykendahl Rd Ste 410
Houston, TX 77068-2751
Phone (832) 286-4459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180306000018 TX Part B Supplier - Clinic/Group Practice 8729349857 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

16300 Kuykendahl Rd
Houston, TX 77068

16300 Kuykendahl Rd
Ste 410
Houston, TX 77068
Phone (832) 286-4459

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1053823344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 KUYKENDAHL RD STE 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770682751",
            "telephone_number": "832-286-4459",
            "fax_number": "832-286-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 KUYKENDAHL RD STE 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770682751",
            "telephone_number": "832-286-4459",
            "fax_number": "832-286-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIDAY'S FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-286-4459",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130367",
            "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 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.