Individual provider Active NPI

Linda Udoka Lewis, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1730404369
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133691 Issued in TX
Practice address
9101 Highway 6 N
Houston, TX 77095-2302
Phone
(281) 859-3209
NPI assigned
Apr 7, 2010
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 758745 TX
Family Nurse Practitioner 363LF0000X AP133691 TX Primary

Addresses

Primary practice location

9101 Highway 6 N
Houston, TX 77095-2302

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000

Other practice location 1

6725 Atascocita Rd
Humble, TX 77346-1996
Phone (281) 812-3990

Other practice location 2

11284 Westheimer Rd
Houston, TX 77042-3223
Phone (713) 442-7700

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
I20181009001021 TX Practitioner - Nurse Practitioner 4688926330 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
758745TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Counseling,Inc. CurrentSince Aug 1, 2018 Accepting new patients
Kelsey-Seybold Medical Group, PLLC CurrentSince Nov 13, 2023 Accepting new patients

Locations

3007 Caroline St
Houston, TX 77004
Phone (713) 528-2328

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

11284 Westheimer Rd
Houston, TX 77042
Phone (713) 442-7700

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

Interoperability endpoints

  • Direct secure messaging: llewis69239@direct.kelsey-seybold.com

Organizations & group practices 2

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": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1730404369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 HIGHWAY 6 N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952302",
            "telephone_number": "281-859-3209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6725 Atascocita Rd",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773461996",
            "country_code": "US",
            "telephone_number": "281-812-3990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11284 Westheimer Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770423223",
            "country_code": "US",
            "telephone_number": "713-442-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LINDA",
        "middle_name": "UDOKA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "758745",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.