Active NPI
Vanguard Geriatrics Inc
- Gerontology Nurse Practitioner
- Houston, TX
National Provider Identifier
1427325869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 607064
- Legal business name
- VANGUARD GERIATRICS INC
- Practice address
- 4660 Beechnut St Ste 218
Houston, TX 77096-1825 - Phone
- (713) 521-0006
- NPI assigned
- Nov 30, 2011
- Organization subpart
- Yes
- Parent organization
- VANGUARD GERIATRICS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edith Spossey Sax, RN MSN GNP-BC
- Title
- Ceo
- Phone
- (713) 521-0006
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 607064 | TX | Primary |
Addresses
Primary practice location
4660 Beechnut St Ste 218
Houston, TX 77096-1825
Mailing address
4660 Beechnut St Ste 218-Satx
Houston, TX 77096-1825
Phone (713) 521-0006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180881803 | Medicaid | TX |
National Provider Directory
National Provider Directory- Part of
- Vanguard Geriatrics Inc
Locations
4660 Beechnut St
Ste 218SATX
Houston, TX 77096
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Geriatric Medicine (Family Medicine) Physician
- Houston, TX
- NPI 1356300420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322611200000",
"number": "1427325869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 BEECHNUT ST STE 218-SATX",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770961825",
"telephone_number": "713-521-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 BEECHNUT ST STE 218",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770961825",
"telephone_number": "713-521-0006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VANGUARD GERIATRICS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VANGUARD GERIATRICS INC",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A",
"authorized_official_last_name": "SAX",
"authorized_official_first_name": "EDITH",
"authorized_official_middle_name": "SPOSSEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "713-521-0006",
"authorized_official_credential": "RN MSN GNP-BC"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "607064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180881803",
"state": "TX"
}
],
"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 Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.