Individual provider Active NPI

Donna Michele Prichard, RN, ANP-BC

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1073701728
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
655002 Issued in TX
Practice address
12553 Gulf Fwy
Houston, TX 77034-4509
Phone
(281) 481-8557
Fax
(281) 484-7916
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 655002 TX Primary

Addresses

Primary practice location

12553 Gulf Fwy
Houston, TX 77034-4509

Mailing address

12553 Gulf Fwy
Houston, TX 77034-4509
Phone (281) 481-8557

Other identifiers 1

IdentifierTypeStateIssuer
206637501MedicaidTX

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, Registered Nurse

State licenses

LicenseStateTypeSpecialty
655002TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: donna.prichard@paw.eclinicaldirectplus.com

Organizations & group practices 1

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1073701728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12553 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344509",
            "telephone_number": "281-481-8557",
            "fax_number": "281-484-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12553 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344509",
            "telephone_number": "281-481-8557",
            "fax_number": "281-484-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICHARD",
        "first_name": "DONNA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "RN, ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "655002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206637501",
            "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 Aug 7, 2014; 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.