Individual provider Active NPI

Hadeel Taha

  • Family Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1225618986
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1046855 Issued in TX
Practice address
16131 N Eldridge Pkwy
Tomball, TX 77377-9129
Phone
(713) 598-8729
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Obstetric Registered Nurse 163WX0003X 917798 TX
Family Nurse Practitioner 363LF0000X 1046855 TX Primary

Addresses

Primary practice location

16131 N Eldridge Pkwy
Tomball, TX 77377-9129

Mailing address

12221 N Mopac Expy
Austin, TX 78758-2401

Other practice location 1

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-1000

Other practice location 2

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-1000

Other identifiers 2

IdentifierTypeStateIssuer
917798OtherTXRN
1046855OtherTXFNP

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

LicenseStateTypeSpecialty
917798TXMDInpatient Obstetric Registered Nurse
1046855TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1225618986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16131 N ELDRIDGE PKWY",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773779129",
            "telephone_number": "713-598-8729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12221 N Mopac Expy",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787582401",
            "country_code": "US",
            "telephone_number": "512-901-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12221 N Mopac Expy",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787582401",
            "country_code": "US",
            "telephone_number": "512-901-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHA",
        "first_name": "HADEEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "TX",
            "license": "917798",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1046855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "917798",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "1046855",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.