Individual provider Active NPI

Reagan Styrt, PA-C

  • Medical Physician Assistant
  • Houston, TX
National Provider Identifier
1295376325
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA15297 Issued in TX
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

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230327000847 TX Practitioner - Physician Assistant 8426422890 Reassigns benefits to 1 organization

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

Verify at the official NPI Registry.