Individual provider Active NPI

Penny Norman, APRN

  • Women's Health Nurse Practitioner
  • Spring, TX
National Provider Identifier
1114969771
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP109337 Issued in TX
Practice address
25230 Borough Park Dr
Spring, TX 77380-3519
Phone
(832) 813-8086
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP109337 TX Primary
Women's Health Nurse Practitioner 363LW0102X 630770 TX

Addresses

Primary practice location

25230 Borough Park Dr
Spring, TX 77380-3519

Mailing address

25230 Borough Park Dr
Spring, TX 77380-3519
Phone (832) 813-8086

Other practice location 1

20031 W. Lake Houston Parkway
Suite 200
Kingwood, TX 77346-3465
Phone (281) 812-4447

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
I20051214000480 TX Practitioner - Nurse Practitioner 3577584846 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP109337TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group CurrentSince Dec 25, 2016 Accepting new patients
Memorial Hermann Medical Group CurrentSince Dec 25, 2016 Accepting new patients
First Family Clinic, Inc. Past Accepting new patients

Locations

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

20031 W Lake Houston Pkwy
Ste 200
Kingwood, TX 77346
Phone (281) 540-0050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHICD/Endpoint/IBHICD

Organizations & group practices 3

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": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1114969771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25230 BOROUGH PARK DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803519",
            "telephone_number": "832-813-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25230 BOROUGH PARK DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803519",
            "telephone_number": "832-813-8086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20031 W. Lake Houston Parkway",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773463465",
            "country_code": "US",
            "telephone_number": "281-812-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "PENNY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP109337",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "630770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.