Organization Active NPI

NPC Family Health Clinic PC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1528321791
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
620452 Issued in TX
Legal business name
NPC FAMILY HEALTH CLINIC PC
Practice address
412 N Sam Houston Pkwy E Ste H
Houston, TX 77060-3508
Phone
(281) 260-6622
Fax
(281) 260-6688
NPI assigned
Jun 21, 2012
Last updated
Sep 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Prof. Lutricia Harrison, FNP-BCNPI 1912948555
Title
Ceo/President
Phone
(281) 260-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 620452 TX Primary

Addresses

Primary practice location

412 N Sam Houston Pkwy E Ste H
Houston, TX 77060-3508

Mailing address

412 N Sam Houston Pkwy E Ste H
Houston, TX 77060-3508
Phone (281) 260-6622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120911000732 TX Part B Supplier - Clinic/Group Practice 7618125923 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
NPC Family Health Clinic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8950 Will Clayton Pkwy
Ste H
Humble, TX 77338
Phone (281) 260-6622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1528321791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N SAM HOUSTON PKWY E STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603508",
            "telephone_number": "281-260-6622",
            "fax_number": "281-260-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N SAM HOUSTON PKWY E STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603508",
            "telephone_number": "281-260-6622",
            "fax_number": "281-260-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NPC FAMILY HEALTH CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "LUTRICIA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "281-260-6622",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "620452",
            "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 Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.