Organization Active NPI

Advanced Practice Clinicians of Texas

  • Adult Health Nurse Practitioner
  • Bellaire, TX
National Provider Identifier
1669916052
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
7035356 Issued in TX
Legal business name
ADVANCED PRACTICE CLINICIANS OF TEXAS
Practice address
5233 Bellaire Blvd Ste B
Bellaire, TX 77401-3901
Phone
(281) 412-2494
Fax
(888) 412-3670
NPI assigned
Dec 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Mrs. Allison Elaine Eisenberg, APRNNPI 1649409228
Title
Owner
Phone
(713) 553-1457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 7035356 TX Primary

Addresses

Primary practice location

5233 Bellaire Blvd Ste B
Bellaire, TX 77401-3901

Mailing address

5233 Bellaire Blvd Ste B
Bellaire, TX 77401-3901
Phone (281) 412-2494

Other identifiers 1

IdentifierTypeStateIssuer
3887812MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170214000661 TX Part B Supplier - Clinic/Group Practice 9931482114 Receives reassigned benefits from 1 practitioner
Practice locations: Bellaire, TX; Webster, TX; Houston, TX

National Provider Directory

National Provider Directory

Locations

5233 Bellaire Blvd
Ste B582
Bellaire, TX 77401
Phone (713) 553-1457

5233 Bellaire Blvd
Ste B
Bellaire, TX 77401
Phone (281) 412-2494

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1669916052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 BELLAIRE BLVD STE B",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013901",
            "telephone_number": "281-412-2494",
            "fax_number": "281-412-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 BELLAIRE BLVD STE B",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013901",
            "telephone_number": "281-412-2494",
            "fax_number": "888-412-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PRACTICE CLINICIANS OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-553-1457",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "7035356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3887812",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.