Individual provider Active NPI

Armita Edalat, AANP-FNP

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1407498744
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141605 Issued in TX
Practice address
6019 Abercombie LN
Sugar Land, TX 77479-4651
Phone
(818) 297-9782
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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 AP141605 TX Primary

Addresses

Primary practice location

6019 Abercombie LN
Sugar Land, TX 77479-4651

Mailing address

6019 Abercombie LN
Sugar Land, TX 77479-4651

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
I20200415002802 TX Practitioner - Nurse Practitioner 1153751102 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imed Consultants PLLC CurrentSince Feb 1, 2020 Accepting new patients
Familymedix PLLC CurrentSince Jun 1, 2024 Accepting new patients
Crosspointe Medical Clinic CurrentSince Jan 1, 2023 Accepting new patients
Crosspointe Medical Clinic PastSince Aug 25, 2024 Accepting new patients

Locations

7630 Fry Rd
Ste 300
Cypress, TX 77433
Phone (281) 463-1400

9701 Richmond Ave
Ste 220
Houston, TX 77042
Phone (713) 715-1234

11910 Richmond Ave
Houston, TX 77082
Phone (281) 497-2838

3600 S Gessner Rd
Ste 200
Houston, TX 77063
Phone (281) 463-1400

4220 Cartwright Rd
Ste 802
Missouri City, TX 77459
Phone (713) 715-1234

3406 Business Center Dr
Pearland, TX 77584
Phone (346) 570-2284

Interoperability endpoints

  • Direct secure messaging: armita.edalat.1@24104.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1407498744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 ABERCOMBIE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 ABERCOMBIE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794651",
            "telephone_number": "818-297-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDALAT",
        "first_name": "ARMITA",
        "credential": "AANP-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.