Individual provider Active NPI

Trevor Hill, PNP-PC

  • Pediatric Nurse Practitioner
  • Jersey Village, TX
National Provider Identifier
1275134355
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1010287 Issued in TX
Practice address
19708 Northwest Fwy Ste 500
Jersey Village, TX 77065-5626
Phone
(713) 957-2020
NPI assigned
Nov 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1010287 TX Primary

Addresses

Primary practice location

19708 Northwest Fwy Ste 500
Jersey Village, TX 77065-5626

Mailing address

5204 9TH St
Lubbock, TX 79416-4424
Phone (806) 698-4752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726001241 TX Practitioner - Nurse Practitioner 9436510229 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Urgent Care PLLC CurrentSince Jul 10, 2023 Accepting new patients
Night Light After Hours Pediatrics Cyfair PA CurrentSince Nov 16, 2021 Accepting new patients
Night-Light After Hours Pediatrics PLLC PastSince Nov 8, 2020 Accepting new patients

Locations

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

19708 Northwest Fwy
Ste 500
Jersey Village, TX 77065
Phone (346) 569-6112

19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD

Organizations & group practices 3

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": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1275134355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 9TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164424",
            "telephone_number": "806-698-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19708 NORTHWEST FWY STE 500",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655626",
            "telephone_number": "713-957-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "TREVOR",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1010287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey Village, TX

Sources for this page

Verify at the official NPI Registry.