Individual provider Active NPI

Emmalita Monik Hall, FNP-C

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1780215939
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
828539 Issued in TX
Practice address
14141 Southwest Fwy Ste 500
Sugar Land, TX 77478-3494
Phone
(281) 356-0364
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Family Nurse Practitioner 363LF0000X 828539 TX Primary

Addresses

Primary practice location

14141 Southwest Fwy Ste 500
Sugar Land, TX 77478-3494

Mailing address

1634 Goode St
Wharton, TX 77488-3518

Other practice location 1

4910 Airport Ave
Rosenberg, TX 77471-5759
Phone (979) 618-1627

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
I20220225000829 TX Practitioner - Nurse Practitioner 7517351067 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
828539TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Diagnostics Corp CurrentSince Sep 15, 2022 Accepting new patients
Signify Health Medical Associates, PLLC Case Manager/Care Coordinator CurrentSince Jan 1, 2024 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

10101 Fondren Rd
Ste 112
Houston, TX 77096
Phone (281) 912-3264

Interoperability endpoints

  • Direct secure messaging: ehall@landmarkhealth-direct.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1780215939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 GOODE ST",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774883518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14141 SOUTHWEST FWY STE 500",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783494",
            "telephone_number": "281-356-0364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4910 Airport Ave",
            "address_purpose": "LOCATION",
            "city": "Rosenberg",
            "state": "TX",
            "postal_code": "774715759",
            "country_code": "US",
            "telephone_number": "979-618-1627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "EMMALITA",
        "middle_name": "MONIK",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "828539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.