Individual provider Active NPI

Tola Haddox

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1447814512
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141335 Issued in TX
Practice address
17567 Imperial Valley Dr
Houston, TX 77060-6102
Phone
(281) 877-0187
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP141335 TX Primary

Addresses

Primary practice location

17567 Imperial Valley Dr
Houston, TX 77060-6102

Mailing address

1118 Watson Crossing Way
Houston, TX 77067-1627
Phone (614) 404-2795

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

LicenseStateTypeSpecialty
AP141335TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hourclinic LLC Past Accepting new patients
Valley Medical Clinic, LLC PastSince Aug 31, 2011 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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1447814512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 WATSON CROSSING WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770671627",
            "telephone_number": "614-404-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17567 IMPERIAL VALLEY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770606102",
            "telephone_number": "281-877-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADDOX",
        "first_name": "TOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141335",
            "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 Apr 24, 2019; 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.