Individual provider Active NPI

Patricia Elizabeth Pasley

  • Psychiatric/Mental Health Nurse Practitioner
  • Spring, TX
National Provider Identifier
1104656909
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11033861 Issued in FL
Practice address
22325 Gosling Rd
Spring, TX 77389-4409
Phone
(281) 724-7980
Fax
(281) 746-6268
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11033861 FL Primary

Addresses

Primary practice location

22325 Gosling Rd
Spring, TX 77389-4409

Mailing address

314 Hawthorne Hills PL Apt 101
Orlando, FL 32835-6867

Other practice location 1

314 Hawthorne Hills Pl Apt 101
Orlando, FL 32835-6867
Phone (786) 387-9938

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
I20250501001712 TX Practitioner - Nurse Practitioner 1254857329 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11033861FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Magnolia Management LLC Psychiatric/Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Pain Boss Physical Therapy LLC PastSince Apr 10, 2023 Accepting new patients

Locations

501 E San Antonio Ave
Boerne, TX 78006
Phone (210) 951-9328

1904 Longmire Rd
Ste 401
Conroe, TX 77304

13145 Spring Cypress Rd
Cypress, TX 77429

8118 Fry Rd
Ste 401
Cypress, TX 77433
Phone (281) 638-5349

2743 Smith Ranch Rd
Ste 2304
Pearland, TX 77584
Phone (281) 937-4139

22329 Gosling Rd
Spring, TX 77389
Phone (832) 975-7150

22325 Gosling Rd
Spring, TX 77389

136 Eldridge Rd
Ste A
Sugar Land, TX 77478
Phone (281) 265-1776

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": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1104656909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 HAWTHORNE HILLS PL APT 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22325 GOSLING RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773894409",
            "telephone_number": "281-724-7980",
            "fax_number": "281-746-6268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 Hawthorne Hills Pl Apt 101",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328356867",
            "country_code": "US",
            "telephone_number": "786-387-9938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASLEY",
        "first_name": "PATRICIA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11033861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.