Individual provider Active NPI

VI Phan, APRN, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1386287514
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143648 Issued in TX
Practice address
5115 Fannin St Ste 801
Houston, TX 77004-5870
Phone
(713) 790-0841
Fax
(713) 790-9663
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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 AP143648 TX Primary

Addresses

Primary practice location

5115 Fannin St Ste 801
Houston, TX 77004-5870

Mailing address

5115 Fannin St Ste 801
Houston, TX 77004-5870
Phone (713) 790-0841

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
I20191231000230 TX Practitioner - Nurse Practitioner 3678907524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Cardiovascular Assoc PAGroup PAC ID 7911992151, 82 clinicians

Practice addresses (Care Compare)

5115 Fannin St
Suite 801
Houston, TX 77004-5870
Phone (713) 790-0841

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143648TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Cardiovascular Assoc PA Family CurrentSince Dec 1, 2019 Accepting new patients
Houston Cardiovascular Assoc PA CurrentSince Dec 1, 2019 Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

5115 Fannin St
Ste 801
Houston, TX 77004
Phone (713) 558-9508

6400 Fannin St
Ste 3000
Houston, TX 77030
Phone (713) 558-9542

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

Interoperability endpoints

  • Direct secure messaging: vi.phan@ushv.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1386287514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 FANNIN ST STE 801",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045870",
            "telephone_number": "713-790-0841",
            "fax_number": "713-790-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 FANNIN ST STE 801",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770045870",
            "telephone_number": "713-790-0841",
            "fax_number": "713-790-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "VI",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.