Individual provider Active NPI

Minjung Hong-Decapio

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1093134181
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134157 Issued in TX
Practice address
1213 Hermann Dr Ste 770
Houston, TX 77004-7031
Phone
(713) 807-8921
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 656949-1 NY
Family Nurse Practitioner 363LF0000X 340162 NY
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP134157 TX Primary

Addresses

Primary practice location

1213 Hermann Dr Ste 770
Houston, TX 77004-7031

Mailing address

13115 Whittington Dr Apt 7308
Houston, TX 77077-2689
Phone (347) 906-0339

Other practice location 1

3335 76th St Apt 4E
Jackson Heights, NY 11372-1135
Phone (347) 906-0339

Other names 1

  • Minjung Hong Former name

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
656949-1NYMDRegistered Nurse
340162NYMDFamily Nurse Practitioner
AP134157TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093134181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13115 WHITTINGTON DR APT 7308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772689",
            "telephone_number": "347-906-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR STE 770",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047031",
            "telephone_number": "713-807-8921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3335 76th St Apt 4E",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113721135",
            "country_code": "US",
            "telephone_number": "347-906-0339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG-DECAPIO",
        "first_name": "MINJUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "656949-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340162",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINJUNG",
            "last_name": "HONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 21, 2022; 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.