My Nissi Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MY NISSI MEDICAL SUPPLIES

Practice address

15074 Hwy 6
Rosharon, TX 77583

Phone

(281) 431-6898

Fax

(281) 431-6899

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Martina Simi Edebor, M. ED.

Title

Maeketing Manager

Phone

(832) 524-1284

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174735393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15074 HWY 6",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "77583",
            "telephone_number": "281-431-6898",
            "fax_number": "281-431-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15074 HWY 6",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "77583",
            "telephone_number": "281-431-6898",
            "fax_number": "281-431-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY NISSI MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDEBOR",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_middle_name": "SIMI",
        "authorized_official_title_or_position": "MAEKETING MANAGER",
        "authorized_official_telephone_number": "832-524-1284",
        "authorized_official_credential": "M. ED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOOD &DRUG",
            "identifier": "0093242",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEDDING LI",
            "identifier": "TXD0013867  #93392",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leatta Ann Mitchell, LCSW
• Brianna Moore
• Danielle Michelle Morris
• Latrisha Monique Morris
• Monique Muniz
• Cassandra M Myers, MA
• Nace
• Sirena Latrice Narcisse, LMSW
• Crystal Marie Needem, LPC
• Nephro Home Dialysis and Training Center, LLC

• Durable Medical Equipment & Medical Supplies in Rosharon, TX
• Providers in Rosharon, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.