Heritage Family Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP123192 Issued in TX

Legal business name

HERITAGE FAMILY CLINIC

Practice address

11850 FM 1960 Rd W
Houston, TX 77065-3840

Phone

(832) 515-9903

NPI assigned

Aug 10, 2016

Last updated

Aug 10, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

HERITAGE FAMILY CLINICAs reported in NPPES

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

Authorized official

Name

Ann Ajoyat Bakama, FNP-CNPI 1336489830

Title

President/Owner

Phone

(832) 515-9903

Specialties & licenses 1

Addresses

Part of

Heritage Family Clinic

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Heritage Family Clinic

  • Family Nurse Practitioner
  • Katy, TX
  • NPI 1144695826
  NPPES parent name

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.

• Ann Bakama, FNP-BC

  • Family Nurse Practitioner
  • Porter, TX
  • NPI 1336489830
  Authorized official Same address or phone

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1619421310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20923 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505548",
            "telephone_number": "832-515-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653840",
            "telephone_number": "832-515-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE FAMILY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE FAMILY CLINIC",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "BAKAMA",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "AJOYAT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "832-515-9903",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Ambulance Service LLC
• Heritage Developmental Care Inc
• Heritage Developmental Care Inc
• Heritage Durable Medical Equipment LLC (Rosa F Louis Heritage Durable Medical Equipment)
• Heritage EMS Care Inc
• Heritage Health Care Services Inc.
• Heritage Healthcare Services, Inc.
• Heritage Homecare, LLC
• Heritage Innovations LLC
• Heritage Long Term Care LLC

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.