Individual provider Active NPI

Carrie Zeplin Middlebrooks, RN, NP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1396888376
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
667046 Issued in TX
Practice address
6621 Fannin St
MC 19345C
Houston, TX 77030-2303
Phone
(832) 826-5719
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 667046 TX Primary

Addresses

Primary practice location

6621 Fannin St
MC 19345C
Houston, TX 77030-2303

Mailing address

25621 Thornhill Creek CT
Porter, TX 77365-3594
Phone (713) 530-1767

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
I20160314002062 TX Practitioner - Nurse Practitioner 9032415278 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
667046TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David P Ellent PLLC CurrentSince Dec 7, 2021 Accepting new patients
David P Ellent PLLC CurrentSince Dec 7, 2021 Accepting new patients

Locations

350 Kingwood Medical Dr
Ste 250
Kingwood, TX 77339

22751 Professional Dr
Ste 140
Kingwood, TX 77339
Phone (281) 319-8380

8845 Six Pines Dr
Ste 200
Shenandoah, TX 77380

9303 Pinecroft Dr
Ste 340
The Woodlands, TX 77380
Phone (281) 681-0616

26940 Kuykendahl Rd
Ste 200
Tomball, TX 77375
Phone (281) 357-5515

Interoperability endpoints

  • Direct secure messaging: carrie.middlebrooks.1@19704.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396888376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25621 THORNHILL CREEK CT",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773653594",
            "telephone_number": "713-530-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST",
            "address_2": "MC 19345C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302303",
            "telephone_number": "832-826-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLEBROOKS",
        "first_name": "CARRIE",
        "middle_name": "ZEPLIN",
        "name_prefix": "Mrs.",
        "credential": "RN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "667046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.