Individual provider Active NPI

Gohnesh T Legesse, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1346592342
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
720463 Issued in TX
Practice address
8533 Gulf Fwy
Houston, TX 77017-5055
Phone
(713) 669-9395
Fax
(713) 941-9800
NPI assigned
Oct 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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 720463 TX Primary

Addresses

Primary practice location

8533 Gulf Fwy
Houston, TX 77017-5055

Mailing address

8533 Gulf Fwy
Houston, TX 77017-5055
Phone (713) 669-9395

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
I20200902000896 TX Practitioner - Nurse Practitioner 6204253446 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Mayen MD PA CurrentSince May 19, 2020 Accepting new patients
Brae Valley Pain & Associates, P.a. Past Accepting new patients
Ultimate Choice Med & Rehab Clinic, L.L.C. Past Accepting new patients

Locations

561 W Medical Center Blvd
Ste C
Webster, TX 77598
Phone (281) 332-1075

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGAEDD/Endpoint/IGAEDD

Organizations & group practices 3

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": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1346592342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8533 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770175055",
            "telephone_number": "713-669-9395",
            "fax_number": "713-941-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8533 GULF FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770175055",
            "telephone_number": "713-669-9395",
            "fax_number": "713-941-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGESSE",
        "first_name": "GOHNESH",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "720463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.