Active NPI
Elizabeth Pruett, MSN, RN, FNP-C
- Family Nurse Practitioner
- Houston, TX
National Provider Identifier
1710480298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP136815
- Practice address
- 6411 Fannin St Ste Jb500
Houston, TX 77030-1501 - Phone
- (713) 704-0132
- NPI assigned
- Mar 12, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP136815 | TX | Primary |
Addresses
Primary practice location
6411 Fannin St Ste Jb500
Houston, TX 77030-1501
Mailing address
6411 Fannin St Ste Jb500
Houston, TX 77030-1501
Phone (979) 450-8090
Other practice location 1
21770 Kingsland Blvd
Katy, TX 77450-2513
Phone (281) 646-0740
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elizabeth.pruett@direct.memorialhermann.org | ||
| Direct Messaging Address | elizabeth.pruett@direct.memorialhermann.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP136815 | TX | MD | Family Nurse Practitioner |
Interoperability endpoints
- epruett91278@memorialhermann.direct-ci.com
- elizabeth.pruett@direct.memorialhermann.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1710480298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6411 FANNIN ST STE JB500",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "979-450-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6411 FANNIN ST STE JB500",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-704-0132"
}
],
"practiceLocations": [
{
"address_1": "21770 Kingsland Blvd",
"address_purpose": "LOCATION",
"city": "Katy",
"state": "TX",
"postal_code": "774502513",
"country_code": "US",
"telephone_number": "281-646-0740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRUETT",
"first_name": "ELIZABETH",
"credential": "MSN, RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-12",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP136815",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elizabeth.pruett@direct.memorialhermann.org",
"affiliation": "N",
"address_1": "6411 Fannin St Ste Jb500",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770301501",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elizabeth.pruett@direct.memorialhermann.org",
"affiliation": "N",
"address_1": "6411 Fannin St Ste Jb500",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770301501",
"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 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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.