Active NPI
Citrus Medical Inc
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
National Provider Identifier
1396341533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CITRUS MEDICAL INC
- Practice address
- 11703 Beechnut St
Houston, TX 77072-4114 - Phone
- (281) 624-6522
- NPI assigned
- Dec 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Henrietta Udunenwu
- Title
- Director/Provider
- Phone
- (281) 624-6522
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
11703 Beechnut St
Houston, TX 77072-4114
Mailing address
11703 Beechnut St
Houston, TX 77072-4114
National Provider Directory
National Provider Directory- Tax ID family
- Citrus Medical Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Houston, TX
- NPI 1760031843
Locations
11703 Beechnut St
Houston, TX 77072
Phone (281) 624-6522
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608681600000",
"number": "1396341533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11703 BEECHNUT ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770724114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11703 BEECHNUT ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770724114",
"telephone_number": "281-624-6522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITRUS MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A",
"authorized_official_last_name": "UDUNENWU",
"authorized_official_first_name": "HENRIETTA",
"authorized_official_title_or_position": "DIRECTOR/PROVIDER",
"authorized_official_telephone_number": "281-624-6522"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Dec 23, 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.