Individual provider Active NPI

Elizabeth Pruett, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1710480298
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136815 Issued in TX
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

Updated by the provider on Sep 19, 2024

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP136815TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: epruett91278@memorialhermann.direct-ci.com
  • Direct secure messaging: 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

Verify at the official NPI Registry.