Adrienne Lynette Mynatt, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

720296 Issued in TX

Practice address

2611 Cypress Creek Pkwy
Ste D102
Houston, TX 77068-3731

Phone

(281) 440-7399

Fax

(281) 440-7403

NPI assigned

Jun 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adrienne L Mynatt

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1417208539
  NPD (past) Authorized official

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1245272756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 CYPRESS CREEK PKWY",
            "address_2": "STE D102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683731",
            "telephone_number": "281-440-7399",
            "fax_number": "281-440-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 CYPRESS CREEK PKWY",
            "address_2": "STE D102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683731",
            "telephone_number": "281-440-7399",
            "fax_number": "281-440-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYNATT",
        "first_name": "ADRIENNE",
        "middle_name": "LYNETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "720296",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "720296",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "720296",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "720296",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mylink Inc
• Lynn Ann Mylius, LCSW
• Eleftherios Mylonakis, MD PHD
• Kionni Emperess Mylum
• Mymedihealthcare.Com LLC
• Kathleen Elizabeth Mynatt
• Susan Mynatt, AUDIOLOGIST
• Amy Mynderse, M.D.
• Myndful Impact PLLC
• Myndful Outreach

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.