Active NPI
Reagan Styrt, PA-C
- Medical Physician Assistant
- Houston, TX
National Provider Identifier
1295376325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA15297
- Practice address
- 2204 Austin St Ste 200
Houston, TX 77002-8912 - Phone
- (713) 640-5477
- Fax
- (713) 640-5872
- NPI assigned
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA15297 | TX | Primary |
Addresses
Primary practice location
2204 Austin St Ste 200
Houston, TX 77002-8912
Mailing address
2204 Austin St Ste 200
Houston, TX 77002-8912
Phone (713) 640-5477
Other practice location 1
10907 Memorial Hermann Dr Ste 300
Pearland, TX 77584-4194
Phone (713) 640-5477 ext. 1016
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1295376325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 AUSTIN ST STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770028912",
"telephone_number": "713-640-5477",
"fax_number": "713-640-5872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 AUSTIN ST STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770028912",
"telephone_number": "713-640-5477",
"fax_number": "713-640-5872"
}
],
"practiceLocations": [
{
"address_1": "10907 Memorial Hermann Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Pearland",
"state": "TX",
"postal_code": "775844194",
"country_code": "US",
"telephone_number": "713-640-5477 x1016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STYRT",
"first_name": "REAGAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA15297",
"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 Aug 23, 2024; 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.