Individual provider Active NPI

Ritika Tina Dewan, RN-BSN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Houston, TX
National Provider Identifier
1619342565
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP129741 Issued in TX
Practice address
6621 Fannin St FL 1
Houston, TX 77030-2358
Phone
(832) 824-5454
NPI assigned
Dec 3, 2015
Last updated
Dec 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP129741 TX Primary

Addresses

Primary practice location

6621 Fannin St FL 1
Houston, TX 77030-2358

Mailing address

631 Clarenda Falls Dr
Sugar Land, TX 77479-5080
Phone (832) 419-0814

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
I20181015001326 TX Practitioner - Nurse Practitioner 7214289552

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP129741TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TCH Pediatric Associates, Inc Past Accepting new patients
Texas Children's Physician Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rdewan188749@prddirect.texaschildrens.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1619342565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 CLARENDA FALLS DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795080",
            "telephone_number": "832-419-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 FANNIN ST FL 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302358",
            "telephone_number": "832-824-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWAN",
        "first_name": "RITIKA",
        "middle_name": "TINA",
        "credential": "RN-BSN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP129741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.