Individual provider Active NPI

Florence Dangga Gemia

  • Acute Care Nurse Practitioner
  • Humble, TX
National Provider Identifier
1558043463
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1112450 Issued in TX
Practice address
9527 Fossil Canyon Dr
Humble, TX 77396-3084
Phone
(832) 573-4415
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1112450 TX Primary

Addresses

Primary practice location

9527 Fossil Canyon Dr
Humble, TX 77396-3084

Mailing address

9527 Fossil Canyon Dr
Humble, TX 77396-3084
Phone (832) 573-4415

Other names 1

  • Florence Dangga Gemia Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1112450TXMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1558043463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9527 FOSSIL CANYON DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773963084",
            "telephone_number": "832-573-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9527 FOSSIL CANYON DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773963084",
            "telephone_number": "832-573-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMIA",
        "first_name": "FLORENCE",
        "middle_name": "DANGGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1112450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLORENCE",
            "last_name": "GEMIA",
            "middle_name": "DANGGA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.