Individual provider Active NPI

Hina Sikandar Hussain, NP

  • Family Nurse Practitioner
  • Port Arthur, TX
National Provider Identifier
1740527415
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
750961 Issued in TX
Practice address
2548 Memorial Blvd
Port Arthur, TX 77640-6539
Phone
(409) 983-1161
NPI assigned
Jan 14, 2013
Last updated
Oct 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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 750961 TX Primary

Addresses

Primary practice location

2548 Memorial Blvd
Port Arthur, TX 77640-6539

Mailing address

2548 Memorial Blvd
Port Arthur, TX 77640-6539
Phone (409) 983-1161

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
I20151002000420 TX Practitioner - Nurse Practitioner 5092940643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Woman's Medical College, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Richmond Medical Clinic Inc PLLCGroup PAC ID 0042668444, 2 clinicians

Practice addresses (Care Compare)

5530 Long Prairie Trce
Suite 400
Richmond, TX 77407-2331
Phone (832) 400-9623

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Medical Clinic Inc PLLC CurrentSince Dec 1, 2024 Accepting new patients
Gulf Coast Health Center, Inc CurrentSince Jul 5, 2015 Accepting new patients
Gulf Coast Health Center Inc CurrentSince Jul 5, 2015 Accepting new patients
Gulf Coast Health Center Inc Past Accepting new patients

Locations

2548 Memorial Blvd
Port Arthur, TX 77640
Phone 4099831161817

Interoperability endpoints

  • Direct secure messaging: hina.hussain.1@30520.direct.athenahealth.com

Organizations & group practices 4

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": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1740527415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 MEMORIAL BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776406539",
            "telephone_number": "409-983-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 MEMORIAL BLVD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776406539",
            "telephone_number": "409-983-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "HINA",
        "middle_name": "SIKANDAR",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "750961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.