Individual provider Active NPI

Hayli Autumn Whitt Henz, NP

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1760015101
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145104 Issued in TX
Practice address
3521 Town Center Blvd S Ste B
Sugar Land, TX 77479-1285
Phone
(713) 772-1212
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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 AP145104 TX Primary

Addresses

Primary practice location

3521 Town Center Blvd S Ste B
Sugar Land, TX 77479-1285

Mailing address

3521 Town Center Blvd S Ste B
Sugar Land, TX 77479-1285
Phone (713) 772-1212

Other names 1

  • Hayli Autumn Whitt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326003246 TX Practitioner - Nurse Practitioner 4789013731 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Arrhythmia Associates PA CurrentSince Feb 12, 2020 Accepting new patients

Locations

915 Gessner Rd
Ste 585
Houston, TX 77024
Phone (713) 486-6690

3521 Town Center Blvd S
#B
Sugar Land, TX 77479
Phone (281) 265-1160

Interoperability endpoints

  • Direct secure messaging: hayli.henz@haas.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1760015101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 TOWN CENTER BLVD S STE B",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791285",
            "telephone_number": "713-772-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 TOWN CENTER BLVD S STE B",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791285",
            "telephone_number": "713-772-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENZ",
        "first_name": "HAYLI",
        "middle_name": "AUTUMN WHITT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYLI",
            "last_name": "WHITT",
            "middle_name": "AUTUMN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.