Individual provider Active NPI

Erica Leigh Vinogradov, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1366998189
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08904 Issued in LA
Practice address
102 W 11TH St
Houston, TX 77008-6857
Phone
(832) 539-4707
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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 AP08904 LA Primary

Addresses

Primary practice location

102 W 11TH St
Houston, TX 77008-6857

Mailing address

102 W 11TH St
Houston, TX 77008-6857
Phone (832) 539-4707

Other practice location 1

27124 Hwy 42
Springfield, LA 70462
Phone (225) 395-8022

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
I20201105000268 TX Practitioner - Nurse Practitioner 7719269695 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08904LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Aug 15, 2022 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 15, 2022 Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

19701 Kingwood Dr
#B
Kingwood, TX 77339
Phone (936) 270-4680

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1366998189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 11TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086857",
            "telephone_number": "832-539-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 11TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086857",
            "telephone_number": "832-539-4707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27124 Hwy 42",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "LA",
            "postal_code": "70462",
            "country_code": "US",
            "telephone_number": "225-395-8022",
            "fax_number": "225-395-8023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINOGRADOV",
        "first_name": "ERICA",
        "middle_name": "LEIGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.