Organization Active NPI

Executive EMS LLC

  • Ambulance
  • Houston, TX
National Provider Identifier
1427338623
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
EXECUTIVE EMS LLC
Practice address
519 N Sam Houston Pkwy E Ste 155
Houston, TX 77060-4061
Phone
(832) 417-3084
Fax
(281) 781-7898
NPI assigned
Aug 19, 2011
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Trenessa Renee Johnson
Title
Administrator
Phone
(832) 417-3084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

519 N Sam Houston Pkwy E Ste 155
Houston, TX 77060-4061

Mailing address

519 N Sam Houston Pkwy E Ste 155
Houston, TX 77060-4061
Phone (832) 417-3084

Other identifiers 1

IdentifierTypeStateIssuer
1000812OtherTXTX DEPT OF STATE HEALTH SVC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120718000470 TX Part B Supplier - Ambulance Service Supplier 4486810538 Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2056141Executive EMS, LLC519 North Sam Houston Parkway East Suite 155, Houston, TX 77060Certificate of waiverMar 21, 2027

National Provider Directory

National Provider Directory

Locations

33 Lyerly St
Ste A10
Houston, TX 77022
Phone (832) 417-3084

519 N Sam Houston Pkwy E
Ste 155
Houston, TX 77060
Phone (832) 303-1259

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1427338623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N SAM HOUSTON PKWY E STE 155",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604061",
            "telephone_number": "832-417-3084",
            "fax_number": "281-781-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N SAM HOUSTON PKWY E STE 155",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604061",
            "telephone_number": "832-417-3084",
            "fax_number": "281-781-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRENESSA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-417-3084"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DEPT OF STATE HEALTH SVC",
            "identifier": "1000812",
            "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 Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.