Organization Active NPI

Regional Nurse Practitioner Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1356858062
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
REGIONAL NURSE PRACTITIONER SERVICES PLLC
Practice address
2656 S Loop W Ste 103
Houston, TX 77054-5632
Phone
(713) 728-6734
Fax
(713) 728-6735
NPI assigned
Jan 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Ms. Guerline P Dejean, NP
Title
Manager
Phone
(713) 728-6734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2656 S Loop W Ste 103
Houston, TX 77054-5632

Mailing address

2656 S Loop W Ste 103
Houston, TX 77054-5632
Phone (713) 728-6734

Other identifiers 1

IdentifierTypeStateIssuer
165420406MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1356858062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 S LOOP W STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545632",
            "telephone_number": "713-728-6734",
            "fax_number": "713-728-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 S LOOP W STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545632",
            "telephone_number": "713-728-6734",
            "fax_number": "713-728-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL NURSE PRACTITIONER SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DEJEAN",
        "authorized_official_first_name": "GUERLINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-728-6734",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165420406",
            "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 Jun 16, 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.