Organization Active NPI

Grace Pediatrics and Family Clinic

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1720194376
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
638038 Issued in TX
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

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Mrs. Esther Mgbeike, NPNPI 1740273804
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
171880101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050225000046 TX Part B Supplier - Clinic/Group Practice 1254384621 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.