Active NPI
Grace Pediatrics and Family Clinic
- Family Nurse Practitioner
- Houston, TX
National Provider Identifier
1720194376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 638038
- Legal business name
- GRACE PEDIATRICS AND FAMILY CLINIC
- Practice address
- 9207 Country Creek Dr
Suite 206
Houston, TX 77036-7714 - Phone
- (713) 988-6835
- Fax
- (713) 988-5471
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Esther Mgbeike, NP
- Title
- Nurse Practitioner
- Phone
- (713) 988-6835
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 638038 | TX | Primary |
Addresses
Primary practice location
9207 Country Creek Dr
Suite 206
Houston, TX 77036-7714
Mailing address
9207 Country Creek Dr
Suite 206
Houston, TX 77036-7714
Phone (713) 988-6835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171880101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9207 Country Creek Dr
Ste 206
Houston, TX 77036
Phone (713) 988-6835
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Richmond, TX
- NPI 1740273804
-
- Family Nurse Practitioner
- Sugar Land, TX
- NPI 1386070977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193616000000",
"number": "1720194376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9207 COUNTRY CREEK DR",
"address_2": "SUITE 206",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770367714",
"telephone_number": "713-988-6835",
"fax_number": "713-988-5471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9207 COUNTRY CREEK DR",
"address_2": "SUITE 206",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770367714",
"telephone_number": "713-988-6835",
"fax_number": "713-988-5471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE PEDIATRICS AND FAMILY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2007-10-29",
"status": "A",
"authorized_official_last_name": "MGBEIKE",
"authorized_official_first_name": "ESTHER",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "713-988-6835",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "638038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171880101",
"state": "TX"
}
],
"endpoints": [],
"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 Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.