Individual provider Active NPI

Davita Hall, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1740672419
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127609 Issued in TX
Practice address
2425 West Loop S Ste 200
Houston, TX 77027-4208
Phone
(832) 786-4970
Fax
(281) 895-3083
NPI assigned
Mar 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 AP127609 TX Primary

Addresses

Primary practice location

2425 West Loop S Ste 200
Houston, TX 77027-4208

Mailing address

4022 Broadmoor Dr
Baytown, TX 77523-4206

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
I20150624000419 TX Practitioner - Nurse Practitioner 8325193592 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians
Next Level MV LLCGroup PAC ID 5991062085, 124 clinicians

Practice addresses (Care Compare)

16312 Southwest Fwy
Sugar Land, TX 77479-2371
Phone (281) 783-8162

2560 E League City Pkwy
League City, TX 77573-6459
Phone (281) 783-8162

7710 Garth Rd
Suite a
Baytown, TX 77521-8809
Phone (281) 783-8162

8100 Hwy 6 N
Suite E
Houston, TX 77095-1923
Phone (281) 783-8162

8325 Broadway St
Suite 220
Pearland, TX 77581-5773
Phone (281) 783-8162

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP127609TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level MV LLC CurrentSince Oct 1, 2021 Accepting new patients
Etx Medical Group, PLLC CurrentSince Dec 13, 2022 Accepting new patients
Nluc PLLC CurrentSince Oct 1, 2021 Accepting new patients
Nluc PLLC CurrentSince Oct 1, 2021 Accepting new patients
Next Level MV LLC CurrentSince Oct 1, 2021 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Oct 1, 2015 Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

4310 Dowlen Rd
Ste 16
Beaumont, TX 77706
Phone (409) 299-4448

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Organizations & group practices 6

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": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1740672419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 BROADMOOR DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775234206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 WEST LOOP S STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770274208",
            "telephone_number": "832-786-4970",
            "fax_number": "281-895-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "DAVITA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-04",
        "last_updated": "2024-01-23",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.