Individual provider Active NPI

Sandra Norris-Deckard, NP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1073002275
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137547 Issued in TX
Practice address
525 N Sam Houston Pkwy E Ste 255
Houston, TX 77060-4017
Phone
(281) 772-8814
NPI assigned
May 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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 AP137547 TX Primary

Addresses

Primary practice location

525 N Sam Houston Pkwy E Ste 255
Houston, TX 77060-4017

Mailing address

11414 Walnut Meadow Dr
Houston, TX 77066-3987
Phone (281) 772-8814

Other practice location 1

11414 Walnut Meadow Dr
Houston, TX 77066-3987
Phone (281) 772-8814

Other identifiers 1

IdentifierTypeStateIssuer
392140587MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812001365 TX Practitioner - Nurse Practitioner 6204163421 Reassigns benefits to 1 organization
Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 N Sam Houston Pkwy E
Houston, TX 77060-4017
Phone (832) 672-4739

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137547TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health and Wellness Clinic &Spa, PLLC CurrentSince Aug 13, 2020 Accepting new patients
Life Enhancement Services of Texas LLC CurrentSince Jun 16, 2020 Accepting new patients

Locations

525 N Sam Houston Pkwy E
Ste 255
Houston, TX 77060
Phone (713) 896-6990

350 Glenborough Dr
Ste 138
Houston, TX 77067
Phone (704) 400-5850

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1073002275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11414 WALNUT MEADOW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663987",
            "telephone_number": "281-772-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N SAM HOUSTON PKWY E STE 255",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604017",
            "telephone_number": "281-772-8814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11414 Walnut Meadow Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770663987",
            "country_code": "US",
            "telephone_number": "281-772-8814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS-DECKARD",
        "first_name": "SANDRA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392140587",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.