Spring Shadows Medical Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

827700 Issued in TX

Legal business name

SPRING SHADOWS MEDICAL CLINIC

Practice address

2549 Gessner Rd
Houston, TX 77080-3801

Phone

(917) 538-9431

NPI assigned

Jul 14, 2014

Last updated

Aug 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rubeena Ayesha, N.P.NPI 1316291016

Title

Owner

Phone

(917) 538-9431

Specialties & licenses 1

Addresses

Tax ID family

LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spring Shadows Medical Clinic

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1740682202
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rubeena Ayesha, NP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1316291016
  Authorized official Same address or phone

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1245647072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770803801",
            "telephone_number": "917-538-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2549 GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770803801",
            "telephone_number": "917-538-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING SHADOWS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "AYESHA",
        "authorized_official_first_name": "RUBEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-538-9431",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "827700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spring Hospice Care Inc (Spring Hospice)
• Spring Independent School District
• Spring Iom, PLLC
• Spring Medical Laboratory LLC
• Spring Neuromonitoring LLC
• Spring Shadows Medical Clinic
• Spring Skin Medical Group
• Spring Sleep Center, Inc.
• Spring Staffing Services LLC
• Spring Valley Primary Care, P.a.

• 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 Aug 22, 2014; 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.