Organization Active NPI

Ada Family Health Clinic PLLC

  • Primary Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1154894822
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ADA FAMILY HEALTH CLINIC PLLC
Practice address
8191 Southwest Fwy Ste 101
Houston, TX 77074-1700
Phone
(832) 669-9409
Fax
(832) 669-9410
NPI assigned
Jan 5, 2019
Organization subpart
No

Practitioners 4

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2161366Ada Family Health Clinic8191 Southwest Freeway Suite 101, Houston, TX 77074Certificate of waiverJan 31, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO, LA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20190422001323 TX Part B Supplier - Clinic/Group Practice 2163764218 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20250419000095 MO Part B Supplier - Clinic/Group Practice 2163764218 Receives reassigned benefits from 2 practitioners
Practice locations: Sikeston, MO
O20250822002486 LA Part B Supplier - Clinic/Group Practice 2163764218 Receives reassigned benefits from 2 practitioners
Practice locations: La Place, LA

National Provider Directory

National Provider Directory

Locations

808 Hunter Ave
Ste 408
Sikeston, MO 63801

8240 Antoine Dr
Ste 214
Houston, TX 77088
Phone (832) 653-6766

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Tashiba WilliamsNPI 1306390414
Title
Administrator
Phone
(832) 669-9409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

8191 Southwest Fwy Ste 101
Houston, TX 77074-1700

Mailing address

8191 Southwest Fwy Ste 101
Houston, TX 77074-1700
Phone (832) 669-9409

Other identifiers 1

IdentifierTypeStateIssuer
1306390414MedicaidTX

Other names 1

  • ada family health clinic Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1154894822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8191 SOUTHWEST FWY STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741700",
            "telephone_number": "832-669-9409",
            "fax_number": "718-362-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 SOUTHWEST FWY STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741700",
            "telephone_number": "832-669-9409",
            "fax_number": "832-669-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA FAMILY HEALTH CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-05",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TASHIBA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-669-9409"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306390414",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ada family health clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.