Individual provider Active NPI

Reginald G Whittington, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1396179396
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP124325 Issued in TX
Practice address
5815 Antoine Dr
Houston, TX 77091-4417
Phone
(832) 927-6136
NPI assigned
Aug 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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 AP124325 TX Primary

Addresses

Primary practice location

5815 Antoine Dr
Houston, TX 77091-4417

Mailing address

14311 Floret Estates CT
Cypress, TX 77429-4585
Phone (281) 450-9783

Other practice location 1

15850 Export Plaza Dr
Houston, TX 77032-2545
Phone (281) 450-9783

Other practice location 2

1100 Wilford Hall Loop
San Antonio, TX 78236-5638
Phone (281) 450-9783

Other identifiers 2

IdentifierTypeStateIssuer
373050901MedicaidTX
373050902MedicaidTX

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP124325TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harris County Public Health & Environmental Services PastSince Oct 26, 2019 Accepting new patients
Harris County Public Health and Environmental Services - Hit Past Accepting new patients

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": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1396179396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14311 FLORET ESTATES CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294585",
            "telephone_number": "281-450-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 ANTOINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770914417",
            "telephone_number": "832-927-6136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15850 Export Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770322545",
            "country_code": "US",
            "telephone_number": "281-450-9783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Wilford Hall Loop",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782365638",
            "country_code": "US",
            "telephone_number": "281-450-9783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTINGTON",
        "first_name": "REGINALD",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-26",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373050901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373050902",
            "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 Jan 7, 2025; 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.