Individual provider Active NPI

Heather N Autrey, LSA

  • Surgical Assistant
  • Sugar Land, TX
National Provider Identifier
1093041790
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA00419 Issued in TX
Practice address
1 Sugar Creek Blvd Ste 618
Sugar Land, TX 77478-3936
Phone
(832) 655-4141
Fax
(713) 457-5188
NPI assigned
Oct 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X SA00419 TX Primary

Addresses

Primary practice location

1 Sugar Creek Blvd Ste 618
Sugar Land, TX 77478-3936

Mailing address

1 Sugar Creek Center Blvd
Ste 618
Sugar Land, TX 77478-3560
Phone (832) 655-4141

Other identifiers 5

IdentifierTypeStateIssuer
8SY030OtherTXXCITE SURGICAL
08SY158OtherTXUNIVERSAL SURGICAL PARTNERS
8SQ828OtherTXUNIVERSAL SURGICAL ASSISTANTS
8SY057OtherTXBLUE STAR SURGICAL ASSISTANTS
8SY138OtherTXUS MSO

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA00419TXMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1093041790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK CENTER BLVD",
            "address_2": "STE 618",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783560",
            "telephone_number": "832-655-4141",
            "fax_number": "713-457-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK BLVD STE 618",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783936",
            "telephone_number": "832-655-4141",
            "fax_number": "713-457-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUTREY",
        "first_name": "HEATHER",
        "middle_name": "N",
        "credential": "LSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "XCITE SURGICAL",
            "identifier": "8SY030",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL SURGICAL PARTNERS",
            "identifier": "08SY158",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL SURGICAL ASSISTANTS",
            "identifier": "8SQ828",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE STAR SURGICAL ASSISTANTS",
            "identifier": "8SY057",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US MSO",
            "identifier": "8SY138",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.