Individual provider Active NPI

Ann Bakama, FNP-BC

  • Family Nurse Practitioner
  • Porter, TX
National Provider Identifier
1336489830
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP123192 Issued in TX
Practice address
23865 FM 1314 Rd
Porter, TX 77365-3727
Phone
(281) 354-1815
NPI assigned
Feb 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP123192 TX
Family Nurse Practitioner 363LF0000X AP123192 TX Primary

Addresses

Primary practice location

23865 FM 1314 Rd
Porter, TX 77365-3727

Mailing address

6522 Laurel Run
Houston, TX 77084-1567
Phone (832) 515-9903

Other practice location 1

8511 S Sam Houston Pkwy E
Suite 101
Houston, TX 77075-4874
Phone (713) 343-2300

Other identifiers 1

IdentifierTypeStateIssuer
315237301MedicaidTX

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Associates of America-Texas, PLLC Family Past Accepting new patients
Aa House Calls Medical Group PastSince Sep 19, 2018 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1336489830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6522 LAUREL RUN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770841567",
            "telephone_number": "832-515-9903",
            "fax_number": "281-550-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23865 FM 1314 RD",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653727",
            "telephone_number": "281-354-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8511 S Sam Houston Pkwy E",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770754874",
            "country_code": "US",
            "telephone_number": "713-343-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKAMA",
        "first_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP123192",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315237301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.