Active NPI
Theorine Grace Nyangono
- Registered Nurse
- Houston, TX
National Provider Identifier
1164901955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 789952
- Practice address
- 110 Cypress Station Dr Ste 270
Houston, TX 77090-1639 - Phone
- (832) 253-1188
- Fax
- (832) 253-1181
- NPI assigned
- Aug 13, 2018
- Last updated
- Aug 13, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 789952 | TX | Primary |
Addresses
Primary practice location
110 Cypress Station Dr Ste 270
Houston, TX 77090-1639
Mailing address
19400 W Bellfort St Apt 3302
Richmond, TX 77407-8211
Phone (832) 997-3041
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 789952 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Health Services, Inc. | Past | Accepting new patients | |
| Epic Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1164901955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19400 W BELLFORT ST APT 3302",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774078211",
"telephone_number": "832-997-3041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CYPRESS STATION DR STE 270",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770901639",
"telephone_number": "832-253-1188",
"fax_number": "832-253-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYANGONO",
"first_name": "THEORINE",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-13",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "789952",
"primary": true
}
],
"identifiers": [],
"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 Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.