Individual provider Active NPI

Linsey Pailo Ittyipe, FNP-C

  • Family Nurse Practitioner
  • Bellaire, TX
National Provider Identifier
1558993733
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144557 Issued in TX
Practice address
4710 Bellaire Blvd Ste 340
Bellaire, TX 77401-4530
Phone
(713) 218-0691
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 AP144557 TX Primary

Addresses

Primary practice location

4710 Bellaire Blvd Ste 340
Bellaire, TX 77401-4530

Mailing address

911 Tennyson Dr
Pearland, TX 77584-3011

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
I20200811000160 TX Practitioner - Nurse Practitioner 6800211657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

137 Citadel Way
Suite B
Sugar Land, TX 77479-7172
Phone (832) 924-3374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC CurrentSince Jul 1, 2020 Accepting new patients
Innovative Infusions, LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

200 N Mesquite St
Ste 115
Arlington, TX 76011
Phone (817) 200-2530

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

4710 Bellaire Blvd
Ste 340
Bellaire, TX 77401
Phone (713) 860-1755

11317 N Central Expy
Ste 100
Dallas, TX 75243
Phone (972) 408-2777

17111 Preston Rd
Ste 100
Dallas, TX 75248
Phone (866) 588-1072

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

137 Citadel Way
Ste B
Sugar Land, TX 77479
Phone (832) 924-3374

780 Clear Lake City Blvd
Ste D
Webster, TX 77598
Phone (346) 358-7552

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": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1558993733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 TENNYSON DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 BELLAIRE BLVD STE 340",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014530",
            "telephone_number": "713-218-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITTYIPE",
        "first_name": "LINSEY",
        "middle_name": "PAILO",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.