Impact Healthcare PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

IMPACT HEALTHCARE PLLC

Practice address

9114 Wheat Cross Dr
Houston, TX 77095-5215

Phone

(832) 790-3070

NPI assigned

Feb 23, 2023

Organization subpart

No

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

Authorized official

Name

Regine Patillo, NP

Title

Co-Owner

Phone

(832) 790-3070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regine Hughes, AGNP

  • Adult Health Nurse Practitioner
  • Houston, TX
  • NPI 1689109779
  NPD

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1144929639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 WHEAT CROSS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 WHEAT CROSS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955215",
            "telephone_number": "832-790-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "PATILLO",
        "authorized_official_first_name": "REGINE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "832-790-3070",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689109779",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Impairment & Functional Assessment Services of Houston Inc
• Impaq Transportation and Community Services, LLC

• General Practice Physician in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.