Active NPI
Ada Family Health Clinic PLLC
- Primary Care Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2161366 | Ada Family Health Clinic | Certificate of waiver | Jan 31, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MO, LA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
808 Hunter Ave
Ste 408
Sikeston, MO 63801
8240 Antoine Dr
Ste 214
Houston, TX 77088
Phone (832) 653-6766
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tashiba Williams
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306390414 | Medicaid | TX |
Other names 1
- ada family health clinic
NPI Registry JSON
{
"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.