Active NPI
Nonglak Poramapornpilas, NP
- Acute Care Nurse Practitioner
- Conroe, TX
National Provider Identifier
1154993996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1046715
- Practice address
- 8218 Horsetail CT
Conroe, TX 77385-1102 - Phone
- (935) 223-5351
- NPI assigned
- Jul 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1046715 | TX | Primary |
Addresses
Primary practice location
8218 Horsetail CT
Conroe, TX 77385-1102
Mailing address
8218 Horsetail CT
Conroe, TX 77385-1102
Phone (935) 223-5351
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22423616 | Other | TX | DRIVER LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1046715 | TX | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1154993996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8218 HORSETAIL CT",
"city": "CONROE",
"state": "TX",
"postal_code": "773851102",
"telephone_number": "935-223-5351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8218 HORSETAIL CT",
"city": "CONROE",
"state": "TX",
"postal_code": "773851102",
"telephone_number": "935-223-5351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORAMAPORNPILAS",
"first_name": "NONGLAK",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1046715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "22423616",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.