Individual provider Active NPI

Milizza Martin

  • Family Nurse Practitioner
  • Webster, TX
National Provider Identifier
1740824655
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143665 Issued in TX
Practice address
532 W Nasa Pkwy
Webster, TX 77598-5127
Phone
(281) 724-1423
Fax
(281) 724-1425
NPI assigned
Nov 4, 2019
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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 AP143665 TX Primary

Addresses

Primary practice location

532 W Nasa Pkwy
Webster, TX 77598-5127

Mailing address

20303 Ranch Riata Dr
Katy, TX 77449-2051
Phone (281) 690-0264

Other practice location 1

20303 Ranch Riata Dr
Katy, TX 77449-2051
Phone (281) 690-0264

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
I20220503001286 TX Practitioner - Nurse Practitioner 4981091303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Clinic a Lind, LLC Family CurrentSince Apr 1, 2022 Accepting new patients

Locations

532 W Nasa Pkwy
Webster, TX 77598
Phone (281) 724-1423

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1740824655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20303 RANCH RIATA DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492051",
            "telephone_number": "281-690-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 W NASA PKWY",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775985127",
            "telephone_number": "281-724-1423",
            "fax_number": "281-724-1425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20303 Ranch Riata Dr",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774492051",
            "country_code": "US",
            "telephone_number": "281-690-0264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MILIZZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.