Individual provider Active NPI

Nancy Bih Fultang

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1326506312
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140842 Issued in TX
Practice address
5603 FM 1960 Rd W
Houston, TX 77069
Phone
(281) 397-4030
NPI assigned
Mar 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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 AP140842 TX Primary

Addresses

Primary practice location

5603 FM 1960 Rd W
Houston, TX 77069

Mailing address

5603 FM 1960 Rd W
Houston, TX 77069-4219

Other practice location 1

19906 Stanton Lake Dr
Cypress, TX 77433-2670
Phone (580) 650-9113

Other practice location 2

19906 Stanton Lake Dr
Cypress, TX 77433-2670
Phone (580) 650-9113

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
I20190821001797 TX Practitioner - Nurse Practitioner 1355679903 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140842TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Health Solutions PLLC Family CurrentSince Mar 1, 2025 Accepting new patients

Locations

13201 Northwest Fwy
Ste 800
Houston, TX 77040
Phone (281) 402-3561

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": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1326506312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77069",
            "telephone_number": "281-397-4030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19906 Stanton Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774332670",
            "country_code": "US",
            "telephone_number": "580-650-9113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19906 Stanton Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774332670",
            "country_code": "US",
            "telephone_number": "580-650-9113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULTANG",
        "first_name": "NANCY",
        "middle_name": "BIH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.