Active NPI
Kiera Lasha Dellahoussaye
- Licensed Vocational Nurse
- Houston, TX
National Provider Identifier
1649746322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 341309
- Practice address
- 1011 Highway 6 S
Houston, TX 77077-1035 - Phone
- (713) 575-2000
- NPI assigned
- Oct 19, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 341309 | TX | Primary |
Addresses
Primary practice location
1011 Highway 6 S
Houston, TX 77077-1035
Mailing address
2111 Austin St
Houston, TX 77002-8952
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A | Epic Health Services |
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 |
|---|---|---|---|
| 341309 | TX | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Health Services, Inc. | Past | Accepting new patients | |
| Epic Health Services, Inc. | Past | Accepting new patients |
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": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630886400000",
"number": "1649746322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 AUSTIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770028952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 HIGHWAY 6 S",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770771035",
"telephone_number": "713-575-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLAHOUSSAYE",
"first_name": "KIERA",
"middle_name": "LASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-19",
"last_updated": "2021-09-06",
"certification_date": "2021-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "341309",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "Y",
"affiliationName": "Epic Health Services",
"address_1": "1011 Highway 6 S Ste 311",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770771040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.