Individual provider Active NPI

Michelle Suzanne Houghton, RN MSN FNPC

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1265403315
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
540577 Issued in TX
Practice address
4102 24TH St
Suite 504
Lubbock, TX 79410-1806
Phone
(806) 725-6550
Fax
(806) 723-7493
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 540577 TX Primary

Addresses

Primary practice location

4102 24TH St
Suite 504
Lubbock, TX 79410-1806

Mailing address

3420 22ND PL
Lubbock, TX 79410-1314
Phone (806) 725-5844

Other identifiers 2

IdentifierTypeStateIssuer
143761801MedicaidTX
40258238MedicaidNM

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110307000104 TX Practitioner - Nurse Practitioner 1456533827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844

4404 19TH St
Suite C
Lubbock, TX 79407-2424
Phone (806) 795-8150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group CurrentSince Oct 11, 2010 Accepting new patients
Covenant Medical Group CurrentSince Oct 11, 2010 Accepting new patients

Locations

3420 22nd Pl
Lubbock, TX 79410
Phone (806) 725-1800

4404 19th St
Ste C
Lubbock, TX 79407
Phone (806) 795-8150

2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228

4102 24th St
Ste 504
Lubbock, TX 79410
Phone (806) 725-6550

Interoperability endpoints

  • Direct secure messaging: michelle.houghton.1@20728.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1265403315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101314",
            "telephone_number": "806-725-5844",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 24TH ST",
            "address_2": "SUITE 504",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101806",
            "telephone_number": "806-725-6550",
            "fax_number": "806-723-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGHTON",
        "first_name": "MICHELLE",
        "middle_name": "SUZANNE",
        "name_prefix": "Mrs.",
        "credential": "RN MSN FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "540577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143761801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40258238",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.