Individual provider Active NPI

Mary Hines Patton, F.N.P.

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1285853416
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
601784 Issued in TX
Practice address
2120 S. Wayside
Ste B
Houston, TX 77023-3900
Phone
(713) 803-1840
Fax
(713) 938-5852
NPI assigned
Apr 25, 2007
Last updated
Jun 10, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 601784 TX Primary

Addresses

Primary practice location

2120 S. Wayside
Ste B
Houston, TX 77023-3900

Mailing address

15597 Memorial Dr
Houston, TX 77079-4100
Phone (281) 741-2286

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)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
601784TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
C H Wilkinson Physician Network Past Accepting new patients
C H Wilkinson Physician Network Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1285853416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15597 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794100",
            "telephone_number": "281-741-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 S. WAYSIDE",
            "address_2": "STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770233900",
            "telephone_number": "713-803-1840",
            "fax_number": "713-938-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "MARY",
        "middle_name": "HINES",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "601784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.