Active NPI
Chandra Marie Wells
- Child Intellectual and/or Developmental Disabilities Respite Care
- Houston, TX
National Provider Identifier
1437354149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Practice address
- 1409 E 35TH St
Houston, TX 77022-6413 - Phone
- (713) 859-5803
- Fax
- (832) 203-5274
- NPI assigned
- Jun 21, 2007
- Last updated
- Jan 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | NU | Primary | |
| Contractor | 171W00000X | 001007876 | TX |
Addresses
Primary practice location
1409 E 35TH St
Houston, TX 77022-6413
Mailing address
18811 Oriole Point CT
Cypress, TX 77429-8353
Phone (713) 859-5803
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001007876 | TX | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1437354149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18811 ORIOLE POINT CT",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774298353",
"telephone_number": "713-859-5803",
"fax_number": "281-445-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 E 35TH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770226413",
"telephone_number": "713-859-5803",
"fax_number": "832-203-5274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "CHANDRA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-21",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": "001007876",
"primary": false
}
],
"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 Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.