Active NPI
Holiday's Family Medical Clinic
- Family Nurse Practitioner
- Houston, TX
National Provider Identifier
1053823344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP130367
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa H Harmon, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Humble, TX
- NPI 1376902023
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.