Individual provider Active NPI

Wynn Vanhouten

  • Family Nurse Practitioner
  • Santa Fe, TX
National Provider Identifier
1689162588
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137277 Issued in TX
Practice address
15230 Fir Rd
Santa Fe, TX 77517-2914
Phone
(832) 545-0232
NPI assigned
Apr 25, 2018
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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 AP137277 TX Primary

Addresses

Primary practice location

15230 Fir Rd
Santa Fe, TX 77517-2914

Mailing address

15230 Fir Rd
Santa Fe, TX 77517-2914
Phone (832) 545-0232

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WYNN.VANHOUTEN@hca9.eclinicaldirectplus.com

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
I20200402000430 TX Practitioner - Nurse Practitioner 7113356783 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Associates of West Houston PLLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1140 Business Center Dr
Ste 490
Houston, TX 77043
Phone (713) 932-1247

15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Interoperability endpoints

  • Direct secure messaging: wynn.vanhouten@hca9.eclinicaldirectplus.com

Organizations & group practices 1

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1689162588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15230 FIR RD",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775172914",
            "telephone_number": "832-545-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15230 FIR RD",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775172914",
            "telephone_number": "832-545-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOUTEN",
        "first_name": "WYNN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-25",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WYNN.VANHOUTEN@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "15230 Fir Rd",
            "city": "Santa Fe",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775172914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Fe, TX

Sources for this page

Verify at the official NPI Registry.