Active NPI
Isabella Pethe, APRN-CNP
- Nurse Practitioner
- The Woodlands, TX
National Provider Identifier
1629704275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1088013
- Practice address
- 9391 Grogans Mill Road
Suite A5
The Woodlands, TX 77380 - Phone
- (281) 236-8688
- NPI assigned
- Jul 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1088013 | TX | Primary |
Addresses
Primary practice location
9391 Grogans Mill Road
Suite A5
The Woodlands, TX 77380
Mailing address
1 Dunloggin Lane
Spring, TX 77380
Phone (281) 236-8688
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1088013 | TX | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1629704275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DUNLOGGIN LANE",
"city": "SPRING",
"state": "TX",
"postal_code": "77380",
"telephone_number": "281-236-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9391 GROGANS MILL ROAD",
"address_2": "SUITE A5",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77380",
"telephone_number": "281-236-8688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETHE",
"first_name": "ISABELLA",
"name_prefix": "Mrs.",
"credential": "APRN-CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1088013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.