Individual provider Active NPI

Daniel Toussaint, APRN

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1770113011
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP145567 Issued in TX
Practice address
11452 Space Center Blvd
Houston, TX 77059-3599
Phone
(713) 486-6200
Fax
(713) 486-6294
NPI assigned
Jan 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP145567 TX
Adult Health Nurse Practitioner 363LA2200X AP145567 TX Primary

Addresses

Primary practice location

11452 Space Center Blvd
Houston, TX 77059-3599

Mailing address

11452 Space Center Blvd
Houston, TX 77059-3599
Phone (713) 486-6200

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
I20210909000213 TX Practitioner - Nurse Practitioner 4789080284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut Physicians Specialty ServicesGroup PAC ID 2567544570, 83 clinicians

Practice addresses (Care Compare)

11452 Space Ctr Blvd
Houston, TX 77059-3599
Phone (713) 486-6200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP145567TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Specialty Services Family Medicine CurrentSince Aug 9, 2021 Accepting new patients
Ut Physicians Family Medicine Past Accepting new patients

Locations

6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736

11452 Space Center Blvd
Houston, TX 77059
Phone (713) 486-6200

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1770113011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11452 SPACE CENTER BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593599",
            "telephone_number": "713-486-6200",
            "fax_number": "713-486-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11452 SPACE CENTER BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593599",
            "telephone_number": "713-486-6200",
            "fax_number": "713-486-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUSSAINT",
        "first_name": "DANIEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-24",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP145567",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP145567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.