Individual provider Active NPI

Mintu Joshua

  • Family Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1679267454
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1123053 Issued in TX
Practice address
6214 Crested Wood CT
Richmond, TX 77407-1029
Phone
(347) 791-8839
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1123053 TX Primary

Addresses

Primary practice location

6214 Crested Wood CT
Richmond, TX 77407-1029

Mailing address

6214 Crested Wood CT
Richmond, TX 77407-1029
Phone (347) 791-8839

Other practice location 1

16655 Southwest Fwy
Sugar Land, TX 77479-2329
Phone (346) 901-2500

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
I20240122001423 TX Practitioner - Nurse Practitioner 4082066436 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1123053TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Nov 20, 2023 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Houston in Patient Physician Associates PLLC CurrentSince Jul 27, 2025 Accepting new patients
KND Development 59, LLC CurrentSince Nov 20, 2023 Accepting new patients

Locations

11297 Fallbrook Dr
Houston, TX 77065
Phone (281) 517-1000

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

4645 Sweetwater Blvd
Ste 200
Sugar Land, TX 77479
Phone (281) 565-1112

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1679267454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 CRESTED WOOD CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071029",
            "telephone_number": "347-791-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 CRESTED WOOD CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071029",
            "telephone_number": "347-791-8839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16655 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774792329",
            "country_code": "US",
            "telephone_number": "346-901-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSHUA",
        "first_name": "MINTU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1123053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.