Individual provider Active NPI

Nisha Renny, NP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1679082747
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135162 Issued in TX
Practice address
9055 Katy Fwy Ste 200
Houston, TX 77024-1629
Phone
(713) 461-2915
Fax
(713) 461-5307
NPI assigned
Sep 21, 2017
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP135162 TX Primary
Family Medicine Physician 207Q00000X AP135162 TX

Addresses

Primary practice location

9055 Katy Fwy Ste 200
Houston, TX 77024-1629

Mailing address

PO Box 392929
Pittsburgh, PA 15251-9900
Phone (713) 461-2915

Other practice location 1

3828 Hughes Ct
Dickinson, TX 77539-6244
Phone (281) 534-9050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nisha.renny.1@13711.direct.athenahealth.com Direct

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
I20180424000786 TX Practitioner - Nurse Practitioner 5092078121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

8215 Cypresswood Dr
Spring, TX 77379-7466
Phone (832) 717-0877

9055 Katy Fwy
Suite 200
Houston, TX 77024-1629
Phone (346) 646-4954

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP135162TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince Jun 11, 2023 Accepting new patients

Locations

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

1455 FM 646 Rd W
Ste 202
Texas City, TX 77539
Phone (832) 738-1710

Interoperability endpoints

  • Direct secure messaging: nisha.renny.1@13711.direct.athenahealth.com

Organizations & group practices 4

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": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1679082747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392929",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519900",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 KATY FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241629",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3828 Hughes Ct",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "TX",
            "postal_code": "775396244",
            "country_code": "US",
            "telephone_number": "281-534-9050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNY",
        "first_name": "NISHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-21",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135162",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP135162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nisha.renny.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9055 Katy Fwy Ste 200",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770241629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.