Individual provider Active NPI

Dineta Edwards, NP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1124320569
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
723449 Issued in TX
Practice address
14335 Hillard Green LN
Houston, TX 77047-3356
Phone
(173) 433-0591
Fax
(713) 433-0591
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 723449 TX Primary

Addresses

Primary practice location

14335 Hillard Green LN
Houston, TX 77047-3356

Mailing address

14335 Hillard Green LN
Houston, TX 77047-3356

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
I20140326000733 TX Practitioner - Nurse Practitioner 6103057674 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

4650 Westway Park Blvd
Houston, TX 77041-2006
Phone (713) 461-2915

6122 Broadway St
Suite 100
Pearland, TX 77581-7804
Phone (346) 398-7252

9055 Katy Fwy
Suite 100
Houston, TX 77024-1617
Phone (346) 646-4954

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
723449TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villagemd of Southeast Texas, PA Multi-Specialty CurrentSince May 1, 2025 Accepting new patients
Village Family Practice, L.L.P Multi-Specialty CurrentSince May 1, 2025 Accepting new patients
TMH Physician Associates PLLC Multi-Specialty CurrentSince May 3, 2021 Accepting new patients
TMH Physician Associates PLLC Multi-Specialty CurrentSince May 3, 2021 Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

6122 Broadway St
Ste 100
Pearland, TX 77581

Interoperability endpoints

  • Direct secure messaging: dineta.edwards.1@13711.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1124320569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14335 HILLARD GREEN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770473356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14335 HILLARD GREEN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770473356",
            "telephone_number": "173-433-0591",
            "fax_number": "713-433-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DINETA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "723449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.