Individual provider Active NPI

Catharine Nformangum, NP

  • Family Nurse Practitioner
  • Texas City, TX
National Provider Identifier
1467798397
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
747302 Issued in TX
Practice address
8030 FM 1765 Ste C-102
Texas City, TX 77591-3689
Phone
(409) 995-0765
Fax
(409) 995-0823
NPI assigned
Dec 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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 747302 TX Primary

Addresses

Primary practice location

8030 FM 1765 Ste C-102
Texas City, TX 77591-3689

Mailing address

8030 FM 1765 Ste C-102
Texas City, TX 77591-3689
Phone (409) 995-0765

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130518000026 TX Practitioner - Nurse Practitioner 7315184934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7035 Hwy 6 S
Houston, TX 77083-3305
Phone (832) 660-7280

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas City Clinic PLLC CurrentSince Nov 9, 2013 Accepting new patients
Excel Clinic P.a. PastSince Sep 8, 2018 Accepting new patients

Locations

7035 Highway 6 S
Houston, TX 77083
Phone (281) 776-9235

8030 FM 1765
Ste C102
Texas City, TX 77591
Phone (409) 515-3915

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": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1467798397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 FM 1765 STE C-102",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775913689",
            "telephone_number": "409-995-0765",
            "fax_number": "409-995-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 FM 1765 STE C-102",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775913689",
            "telephone_number": "409-995-0765",
            "fax_number": "409-995-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NFORMANGUM",
        "first_name": "CATHARINE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "747302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.