Active NPI
Deanna Echavez-Doria, MSN, CPNP-PC
- Pediatric Nurse Practitioner
- Conroe, TX
National Provider Identifier
1376823435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1011649
- Practice address
- 690 S Loop 336 W Ste 110
Conroe, TX 77304-3320 - Phone
- (936) 539-8190
- NPI assigned
- Aug 22, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 908768 | TX | |
| Registered Nurse | 163W00000X | 575222 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | 1011649 | TX | Primary |
Addresses
Primary practice location
690 S Loop 336 W Ste 110
Conroe, TX 77304-3320
Mailing address
690 S Loop 336 W Ste 110
Conroe, TX 77304-3320
Phone (936) 539-8190
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 575222 | NY | MD | Registered Nurse |
| 908768 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Healthcare of Northwest Houston PA | Pediatrics | Current | Accepting new patients |
Locations
690 S Loop 336 W
Ste 110
Conroe, TX 77304
Phone (936) 539-8190
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1083752059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1376823435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 S LOOP 336 W STE 110",
"city": "CONROE",
"state": "TX",
"postal_code": "773043320",
"telephone_number": "936-539-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 S LOOP 336 W STE 110",
"city": "CONROE",
"state": "TX",
"postal_code": "773043320",
"telephone_number": "936-539-8190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHAVEZ-DORIA",
"first_name": "DEANNA",
"credential": "MSN, CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2020-12-29",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "908768",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "575222",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "1011649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.