Organization Active NPI

Premium Health House Calls

  • Gerontology Nurse Practitioner
  • Spring, TX
National Provider Identifier
1417714197
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Legal business name
PREMIUM HEALTH HOUSE CALLS
Practice address
20302 Oakmoss CT
Spring, TX 77379-2569
Phone
(713) 909-6864
NPI assigned
Feb 29, 2024
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Deyvis Camejo Busto, FNP-BCNPI 1265195820
Title
Manager
Phone
(713) 909-6864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X Primary

Addresses

Primary practice location

20302 Oakmoss CT
Spring, TX 77379-2569

Mailing address

20302 Oakmoss CT
Spring, TX 77379-2569

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1417714197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20302 OAKMOSS CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20302 OAKMOSS CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792569",
            "telephone_number": "713-909-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM HEALTH HOUSE CALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2025-09-11",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "CAMEJO BUSTO",
        "authorized_official_first_name": "DEYVIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-909-6864",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.