Individual provider Active NPI

Nicklette Knight Perry, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1497429757
Registry record updated Feb 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1048925 Issued in TX
Practice address
6910 Bellaire Blvd Ste 14
Houston, TX 77074-3547
Phone
(713) 271-0911
Fax
(713) 271-2129
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2023

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 1048925 TX Primary

Addresses

Primary practice location

6910 Bellaire Blvd Ste 14
Houston, TX 77074-3547

Mailing address

1800 10TH St
Port Arthur, TX 77640-5563
Phone (832) 610-0239

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
L G Solutions Co. PL Family CurrentSince Mar 19, 2023 Accepting new patients
Rovinger Positioning Systems Corporation CurrentSince Mar 19, 2023 Accepting new patients

Locations

6910 Bellaire Blvd
Ste 14
Houston, TX 77074
Phone (713) 271-0911

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8719/brand/1/csg/1/fhir/r4

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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676678400000",
    "number": "1497429757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 10TH ST",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776405563",
            "telephone_number": "832-610-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 BELLAIRE BLVD STE 14",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770743547",
            "telephone_number": "713-271-0911",
            "fax_number": "713-271-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "NICKLETTE",
        "middle_name": "KNIGHT",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1048925",
            "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 Feb 18, 2023; 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.