Organization Active NPI

Take Care Health Texas, PC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1164628582
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TAKE CARE HEALTH TEXAS, PC
Practice address
1215 W 43Rd St
Houston, TX 77018-4203
Phone
(855) 925-4733
Fax
(217) 709-2345
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Jennifer Phipps
Title
Chief Financial Official
Phone
(855) 925-4733

Specialties & licenses 1

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

Addresses

Primary practice location

1215 W 43Rd St
Houston, TX 77018-4203

Mailing address

1901 E Voorhees St
Ms 640
Danville, IL 61834-4509
Phone (855) 925-4733

Other identifiers 4

IdentifierTypeStateIssuer
198305801MedicaidTX
195248301MedicaidTX
194965301MedicaidTX
0053QKOtherBCBS

National Provider Directory

National Provider Directory

Locations

16809 Collections Ctr Dr
Chicago, IL 60693

16809 Collections Ctr D
Chicago, IL 60693

16809 Collection Ctr Dr
Chicago, IL 60693

3802 Cedar Springs Rd
Dallas, TX 75219
Phone (214) 443-5160

4921 Bryant Irvin Rd
Ft Worth, TX 76132
Phone (817) 292-5806

411 S Mason Rd
Katy, TX 77450
Phone (281) 579-0910

18900 Highway 105 W
Montgomery, TX 77356
Phone (936) 582-0002

9810 S Mason Rd
Richmond, TX 77406
Phone (832) 595-9533

11970 Spring Cypress Rd
Tomball, TX 77377
Phone (281) 320-8654

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1164628582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E VOORHEES ST",
            "address_2": "MS 640",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618344509",
            "telephone_number": "855-925-4733",
            "fax_number": "217-709-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W 43RD ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770184203",
            "telephone_number": "855-925-4733",
            "fax_number": "217-709-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE CARE HEALTH TEXAS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICIAL",
        "authorized_official_telephone_number": "855-925-4733"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198305801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195248301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194965301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0053QK",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 2, 2015; 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.