Individual provider Active NPI

Sini Abhilash, MS,APRN,CCRN,FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1467934372
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138534 Issued in TX
Practice address
10018 Nathans CV
Houston, TX 77089-1907
Phone
(832) 347-3824
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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 AP138534 TX Primary

Addresses

Primary practice location

10018 Nathans CV
Houston, TX 77089-1907

Mailing address

10018 Nathans CV
Houston, TX 77089-1907
Phone (832) 347-3824

Other names 1

  • Sini Sebastian Former name

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
I20181113000397 TX Practitioner - Nurse Practitioner 8729332622 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP138534TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Jan 8, 2022 Accepting new patients
KND Development 59, LLC CurrentSince Jan 8, 2022 Accepting new patients
KND Development 59 LLC Current Accepting new patients

Locations

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

350 Blossom St
Webster, TX 77598
Phone (281) 316-7800

Organizations & group practices 3

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1467934372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10018 NATHANS CV",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770891907",
            "telephone_number": "832-347-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10018 NATHANS CV",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770891907",
            "telephone_number": "832-347-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABHILASH",
        "first_name": "SINI",
        "credential": "MS,APRN,CCRN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SINI",
            "last_name": "SEBASTIAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.