Organization Active NPI

Vanguard Geriatrics Inc

  • Gerontology Nurse Practitioner
  • Houston, TX
National Provider Identifier
1427325869
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
607064 Issued in TX
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
180881803MedicaidTX

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.

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.

Verify at the official NPI Registry.