Individual provider Active NPI

Mary Aifekelu Ativie, RN

  • Pediatric Registered Nurse
  • Houston, TX
National Provider Identifier
1427528256
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
714556 Issued in TX
Practice address
8226 Mission Estates Dr
Houston, TX 77083-5376
Phone
(713) 962-1824
Fax
(832) 532-7301
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 714556 TX Primary

Addresses

Primary practice location

8226 Mission Estates Dr
Houston, TX 77083-5376

Mailing address

8226 Mission Estates Dr
Houston, TX 77083-5376
Phone (713) 962-1824

Other practice location 1

8226 Mission Estates Dr
Houston, TX 77083-5376
Phone (713) 962-1824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
714556TXMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bathfol Health Services Inc Current Accepting new patients
Assurant Healthcare Services Inc. Past Accepting new patients

Organizations & group practices 2

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": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1427528256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 MISSION ESTATES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835376",
            "telephone_number": "713-962-1824",
            "fax_number": "832-532-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8226 MISSION ESTATES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835376",
            "telephone_number": "713-962-1824",
            "fax_number": "832-532-7301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8226 Mission Estates Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770835376",
            "country_code": "US",
            "telephone_number": "713-962-1824",
            "fax_number": "832-532-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATIVIE",
        "first_name": "MARY",
        "middle_name": "AIFEKELU",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "714556",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 5, 2018; 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.