Active NPI
Andraea Wyatt, FNP-C
- Family Nurse Practitioner
- Porter, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 139020
- Practice address
- 23865 FM 1314 Rd
Porter, TX 77365-3727 - Phone
- (281) 354-1815
- NPI assigned
- Oct 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 139020 | TX | Primary |
Addresses
Primary practice location
23865 FM 1314 Rd
Porter, TX 77365-3727
Mailing address
23865 FM 1314 Rd
Porter, TX 77365-3727
Phone (281) 354-1815
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10140 Hwy 242
Conroe, TX 77385-4386
Phone (936) 286-6196
10300 Louetta Rd
Suite 120
Houston, TX 77070-2121
Phone (346) 236-1082
20022 Southwest Fwy
Sugar Land, TX 77479-6310
Phone (346) 521-3628
2168 Spring Stuebner Rd
Suite 270
Spring, TX 77389-5309
Phone (346) 478-1976
2400 N Shepherd Dr
Suite 140
Houston, TX 77008-2989
Phone (832) 509-0458
300 N Loop
Suite 100 Memorial Hermann Gohealth UC
Houston, TX 77008-2853
Phone (713) 426-9650
30129 Rock Creek Dr
Suite 200
Kingwood, TX 77339-2868
Phone (346) 477-8144
4057 Riley Fuzzel Rd
Spring, TX 77386-4632
Phone (281) 602-0450
7072 FM 1960 Rd E
Humble, TX 77346-2787
Phone (281) 397-5258
813 W Montgomery St
Suite 300
Willis, TX 77378-8683
Phone (936) 249-6271
9595 Six Pines Dr
Suite 1400
The Woodlands, TX 77380-1535
Phone (346) 478-1615
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139020 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Level MV LLC | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients | |
| Memorial Hermann Urgent Care PLLC | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients | |
| Nluc PLLC | Current | Accepting new patients | |
| Houston Carenow Urgent Care PLLC | Current | Accepting new patients | |
| Next Level MV LLC | Current | Accepting new patients |
Locations
7710 Garth Rd
Ste A
Baytown, TX 77521
6342 Phelan Blvd
Beaumont, TX 77706
Phone (281) 783-7182
1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304
1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860
5718 Westheimer Rd
Ste 400
Houston, TX 77057
Phone (469) 600-6282
7072 FM 1960 Rd E
Humble, TX 77346
Phone (281) 397-5258
300 Northpark Dr
Kingwood, TX 77339
Phone (281) 310-8445
101 Winding Way St
Ste A
Lake Jackson, TX 77566
10422 Research Forest Dr
Magnolia, TX 77354
Phone (281) 394-4936
8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162
2510 Smith Ranch Rd
Ste 102
Pearland, TX 77584
Phone (346) 439-7481
4002 FM 762 Rd
Ste 100
Rosenberg, TX 77469
5211 FM 2920 Rd
Ste 101
Spring, TX 77388
16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479
19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AACHCD
- awyatt761955@memorialhermann.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Magnolia, TX
- NPI 1093251860
-
- Family Medicine Physician
- Sugar Land, TX
- NPI 1730821208
-
- Urgent Care Clinic/Center
- Pearland, TX
- NPI 1013432285
-
- Urgent Care Clinic/Center
- Houston, TX
- NPI 1518209113
-
- Urgent Care Clinic/Center
- Baytown, TX
- NPI 1073168746
-
- Urgent Care Clinic/Center
- League City, TX
- NPI 1043814049
-
- Urgent Care Clinic/Center
- Katy, TX
- NPI 1972152965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1740757673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23865 FM 1314 RD",
"city": "PORTER",
"state": "TX",
"postal_code": "773653727",
"telephone_number": "281-354-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23865 FM 1314 RD",
"city": "PORTER",
"state": "TX",
"postal_code": "773653727",
"telephone_number": "281-354-1815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "ANDRAEA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-29",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "139020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Porter, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.