Individual provider Active NPI

Gnnanasribala Mukkamala, NP

  • Primary Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1457225518
Registry record updated Jan 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F09250582 Issued in TX
Practice address
3600 S Gessner Rd Ste 200
Houston, TX 77063-5150
Phone
(281) 463-1400
Fax
(281) 463-1432
NPI assigned
Oct 1, 2025
Last updated
Jan 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F09250582 TX Primary

Addresses

Primary practice location

3600 S Gessner Rd Ste 200
Houston, TX 77063-5150

Mailing address

8319 Hidden Trail LN
Spring, TX 77379-8723
Phone (832) 454-6042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260108003220 TX Order and Referring Only - Family PracticePractitioner - Family Practice 7517276785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F09250582TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Criti-Care Health Services, Inc Current Accepting new patients
Home Care Professional Services, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Crosspointe Medical Clinic CurrentSince Oct 5, 2025 Accepting new patients
Crosspointe Medical Clinic Multi-Specialty CurrentSince Oct 5, 2025 Accepting new patients

Locations

3600 S Gessner Rd
Ste 200
Houston, TX 77063
Phone (281) 463-1400

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Home Care Professional Services, Inc.Spring, TX, CCN 677299 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
Oct 18, 2019
Jan 1, 2017
Oct 18, 2019
Jan 1, 2017
Criti-Care Health Services, IncSpring, TX, CCN 459232 Home health agency 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer
W-2 Managing Employee
Operational/Managerial Control
Jan 6, 2016
Mar 21, 2015
Mar 21, 2015
Mar 21, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768089600000",
    "number": "1457225518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8319 HIDDEN TRAIL LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773798723",
            "telephone_number": "832-454-6042",
            "fax_number": "281-605-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S GESSNER RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770635150",
            "telephone_number": "281-463-1400",
            "fax_number": "281-463-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKKAMALA",
        "first_name": "GNNANASRIBALA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-01",
        "last_updated": "2026-01-11",
        "certification_date": "2026-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "F09250582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.