Organization Active NPI

Cearra Clinical LLC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1497306195
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CEARRA CLINICAL LLC
Practice address
11811 FM 1960 Rd W Ste 190
Houston, TX 77065-3829
Phone
(832) 478-9721
NPI assigned
Sep 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Mrs. Cearra Teressamarie Prejean, NP
Title
Ceo
Phone
(832) 478-9721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

11811 FM 1960 Rd W Ste 190
Houston, TX 77065-3829

Mailing address

11811 FM 1960 Rd W Ste 190
Houston, TX 77065-3829
Phone (832) 478-9721

National Provider Directory

National Provider Directory

Locations

11811 FM 1960 Rd W
Ste 19
Houston, TX 77065
Phone (832) 478-9721

20180 Park Row Dr
Unit 6927
Katy, TX 77491

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1497306195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 FM 1960 RD W STE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653829",
            "telephone_number": "832-478-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 FM 1960 RD W STE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653829",
            "telephone_number": "832-478-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEARRA CLINICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "PREJEAN",
        "authorized_official_first_name": "CEARRA",
        "authorized_official_middle_name": "TERESSAMARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-478-9721",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "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 Jun 24, 2020; 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.