Organization Active NPI

Howard Family Medicine, PLLC

  • Family Nurse Practitioner
  • Dayton, TX
National Provider Identifier
1730908476
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HOWARD FAMILY MEDICINE, PLLC
Practice address
107 Bryan St
Dayton, TX 77535-2661
Phone
(936) 258-4600
Fax
(936) 258-4603
NPI assigned
Oct 9, 2024
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Lasondra Rashell Howard, MSN, APRN, FNP-CNPI 1467991844
Title
Family Nurse Practitioner
Phone
(936) 258-4600

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 SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

107 Bryan St
Dayton, TX 77535-2661

Mailing address

107 Bryan St
Dayton, TX 77535-2661
Phone (936) 258-4600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241030002652 TX Part B Supplier - Clinic/Group Practice 2062945926 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2313274Howard Family Medicine, PLLC107 Bryan St, Dayton, TX 77535Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory

Locations

107 Bryan St
Dayton, TX 77535
Phone (936) 258-4600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1730908476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BRYAN ST",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352661",
            "telephone_number": "936-258-4600",
            "fax_number": "936-258-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 BRYAN ST",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352661",
            "telephone_number": "936-258-4600",
            "fax_number": "936-258-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "LASONDRA",
        "authorized_official_middle_name": "RASHELL",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "936-258-4600",
        "authorized_official_credential": "MSN, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.