Active NPI
Theresa Thu Anh Thai, WHCNP
- Women's Health Nurse Practitioner
- Houston, TX
National Provider Identifier
1215214614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP101526
- Practice address
- 5800 Bellaire Blvd
BLDG. 1B, Ste.120
Houston, TX 77081-5537 - Phone
- (713) 541-5372
- Fax
- (404) 494-7435
- NPI assigned
- Nov 14, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 518359 | TX | |
| Women's Health Nurse Practitioner | 363LW0102X | AP101526 | TX | Primary |
Addresses
Primary practice location
5800 Bellaire Blvd
BLDG. 1B, Ste.120
Houston, TX 77081-5537
Mailing address
4600 Gulf Fwy
Houston, TX 77023-3548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2871550-02 | Medicaid | TX |
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 |
|---|---|---|---|
| 518359 | TX | MD | Registered Nurse |
| AP101526 | TX | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1215214614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 GULF FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770233548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 BELLAIRE BLVD",
"address_2": "BLDG. 1B, STE.120",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770815537",
"telephone_number": "713-541-5372",
"fax_number": "404-494-7435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAI",
"first_name": "THERESA",
"middle_name": "THU ANH",
"credential": "WHCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "518359",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "AP101526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2871550-02",
"state": "TX"
}
],
"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 Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.