Individual provider Active NPI

Christie N Poole, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1093208241
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1118046 Issued in TX
Practice address
13333 Dotson Rd Ste 220
Houston, TX 77070-4305
Phone
(281) 251-5234
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1118046 TX Primary
Family Nurse Practitioner 363LF0000X AP10000 LA

Addresses

Primary practice location

13333 Dotson Rd Ste 220
Houston, TX 77070-4305

Mailing address

4212 W Congress St Ste 2300a
Lafayette, LA 70506-6778
Phone (337) 237-7801

Other practice location 1

4212 W Congress St Ste 2300A
Lafayette, LA 70506-6778
Phone (337) 237-7801

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521001023 TX Order and Referring Only - Family PracticePractitioner - Family Practice 8820341621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1118046TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Damaris Vega MD PLLC CurrentSince Sep 17, 2023 Accepting new patients

Locations

13333 Dotson Rd
Ste 220
Houston, TX 77070
Phone (281) 251-5234

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": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1093208241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST STE 2300A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066778",
            "telephone_number": "337-237-7801",
            "fax_number": "337-235-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 DOTSON RD STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704305",
            "telephone_number": "281-251-5234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4212 W Congress St Ste 2300A",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705066778",
            "country_code": "US",
            "telephone_number": "337-237-7801",
            "fax_number": "337-235-1865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOLE",
        "first_name": "CHRISTIE",
        "middle_name": "N",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1118046",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP10000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.