Active NPI
Patricia Wills Bagnato, PNP
- Nurse Practitioner
- Houston, TX
National Provider Identifier
1356347322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 522755
- Practice address
- 6701 Fannin
Houston, TX 77030 - Phone
- (832) 822-4890
- Fax
- (832) 825-1449
- NPI assigned
- Jun 24, 2005
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 522755 | TX | Primary |
Addresses
Primary practice location
6701 Fannin
Houston, TX 77030
Mailing address
Two Greenway Plaza
Suite 900
Houston, TX 77046
Phone (713) 798-1750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044337601 | Medicaid | TX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1356347322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TWO GREENWAY PLAZA",
"address_2": "SUITE 900",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77046",
"telephone_number": "713-798-1750",
"fax_number": "713-798-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 FANNIN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "832-822-4890",
"fax_number": "832-825-1449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS BAGNATO",
"first_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-24",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "522755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044337601",
"state": "TX"
}
],
"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 Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.