Individual provider Active NPI

Tracy Amerson-Rivers, APRN FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1396227047
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140072 Issued in TX
Practice address
2646 S Loop W
Houston, TX 77054-2665
Phone
(832) 297-9279
Fax
(281) 533-8175
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 918590 TX
Family Nurse Practitioner 363LF0000X AP140072 TX Primary

Addresses

Primary practice location

2646 S Loop W
Houston, TX 77054-2665

Mailing address

29210 Jacobs River Dr
Katy, TX 77494-6958
Phone (870) 740-8850

Other practice location 1

29210 Jacobs River Dr
Katy, TX 77494-6958
Phone (870) 740-8850

Other practice location 2

9900 Spectrum Dr
Austin, TX 78717-4555
Phone (870) 740-8850

Other practice location 3

16001 Park Ten Pl Ste 300
Houston, TX 77084-7885
Phone (713) 407-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMR Health Information Exchange (HIE)

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
I20190924003533 TX Practitioner - Nurse Practitioner 4789914367 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
918590TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Medical Group, PLLC Current Accepting new patients
Gold Diagnostics Corp CurrentSince Apr 15, 2024 Accepting new patients
Elysian Beauty and Wellness Current Accepting new patients
Saint Francis Medical Center Past Accepting new patients

Locations

9900 Spectrum Dr
Austin, TX 78717
Phone (512) 257-5230

2646 S Loop W
Houston, TX 77054
Phone (346) 204-5592

6633 Bellfort St
Houston, TX 77087
Phone (281) 912-3264

10101 Fondren Rd
Ste 112
Houston, TX 77096
Phone (281) 912-3264

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1396227047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29210 JACOBS RIVER DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946958",
            "telephone_number": "870-740-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542665",
            "telephone_number": "832-297-9279",
            "fax_number": "281-533-8175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29210 Jacobs River Dr",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774946958",
            "country_code": "US",
            "telephone_number": "870-740-8850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9900 Spectrum Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787174555",
            "country_code": "US",
            "telephone_number": "870-740-8850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16001 Park Ten Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770847885",
            "country_code": "US",
            "telephone_number": "713-407-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMERSON-RIVERS",
        "first_name": "TRACY",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "918590",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2646 S Loop W",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770542665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.