Active NPI
Joanna M. Utoh, FNP
- Family Nurse Practitioner
- Houston, TX
National Provider Identifier
1407108772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP125686
- Practice address
- 5885 San Felipe St
#325
Houston, TX 77057 - Phone
- (713) 338-5517
- Fax
- (713) 338-4553
- NPI assigned
- Oct 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP4649 | AZ | |
| Family Nurse Practitioner | 363LF0000X | AP125686 | TX | Primary |
Addresses
Primary practice location
5885 San Felipe St
#325
Houston, TX 77057
Mailing address
909 Frostwood Dr
Ste 1.100
Houston, TX 77024-2301
Phone (713) 338-4523
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Medical Group | Current | Accepting new patients | |
| Memorial Hermann Medical Group Urgent Care | Past | Accepting new patients |
Locations
915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222
5885 San Felipe St
Ste 325
Houston, TX 77057
Phone (713) 338-5517
909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523
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.
-
- Family Medicine Physician
- Fulshear, TX
- NPI 1003985102
-
- Family Medicine Physician
- Houston, TX
- NPI 1619336708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1407108772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 FROSTWOOD DR",
"address_2": "STE 1.100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242301",
"telephone_number": "713-338-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5885 SAN FELIPE ST",
"address_2": "#325",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77057",
"telephone_number": "713-338-5517",
"fax_number": "713-338-4553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTOH",
"first_name": "JOANNA",
"middle_name": "M.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-10",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP4649",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP125686",
"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 Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.