Tabatha Kristi Mize, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP135492 Issued in TX

Practice address

17400 St Lukes Way
The Woodlands, TX 77384-8036

Phone

(936) 266-9000

NPI assigned

Oct 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chris Sparkman MD PAGroup PAC ID 3779810684, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Chris Sparkman MD PA

  • Family Medicine Physician
  • Shenandoah, TX
  • NPI 1316138746
  Medicare reassignment Care Compare group NPD
• TMNP Health Services LLC

  • Primary Care Clinic/Center
  • Montgomery, TX
  • NPI 1053888644
  NPD (past) Authorized official
• 1960 Physician Associates

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1215391941
  NPD (past)

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1114438199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 HARLEY DR",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773568812",
            "telephone_number": "936-672-2961",
            "fax_number": "936-672-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17400 ST LUKES WAY",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848036",
            "telephone_number": "936-266-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3708 W Davis St",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773041865",
            "country_code": "US",
            "telephone_number": "936-760-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Pine Forest Dr Ste 703",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773845317",
            "country_code": "US",
            "telephone_number": "936-273-2016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21898 FM 1314",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Porter",
            "state": "TX",
            "postal_code": "77365",
            "country_code": "US",
            "telephone_number": "281-354-2417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 W Davis St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042073",
            "country_code": "US",
            "telephone_number": "936-788-6493",
            "fax_number": "832-299-4708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Vision Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773843001",
            "country_code": "US",
            "telephone_number": "281-364-0317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIZE",
        "first_name": "TABATHA",
        "middle_name": "KRISTI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Minniefield, D.C.
• Silvana C Minuta, M.ED.
• Nena Mirkovic, M.D.
• Gary Mishoe, L.V.N., O.P.A.C.
• Samuel Bradley Mize, D.D.S.
• Kristin Jean Mlinar, PA-C
• MMWL PLLC
• Mobility Sports Therapy
• Modern Health Enterprises, L.L.C.
• Modern Kidney and Transplant Care, LLC

• Family Nurse Practitioner in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.