Individual provider Active NPI

Nadia Nekooi, PA

  • Medical Physician Assistant
  • Texas City, TX
National Provider Identifier
1114196870
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA04571 Issued in TX
Practice address
6807 E.F. Lowry Expwy Ste 103
Texas City, TX 77591
Phone
(409) 938-1770
Fax
(409) 938-0701
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA04571 TX Primary

Addresses

Primary practice location

6807 E.F. Lowry Expwy Ste 103
Texas City, TX 77591

Mailing address

6807 E.F. Lowry Expwy Ste 103
Texas City, TX 77591
Phone (409) 938-1770

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04571TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Elizabeth Family Care, LLC CurrentSince Oct 1, 2011 Accepting new patients
Mainland Primary Care Physicians, PLLC Past Accepting new patients

Locations

676 FM 517 Rd W
Dickinson, TX 77539
Phone (713) 335-9571

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": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1114196870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 E.F. LOWRY EXPWY STE 103",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "77591",
            "telephone_number": "409-938-1770",
            "fax_number": "409-938-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 E.F. LOWRY EXPWY STE 103",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "77591",
            "telephone_number": "409-938-1770",
            "fax_number": "409-938-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEKOOI",
        "first_name": "NADIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.