Individual provider Active NPI

Bridgette Michelle Nava, PA-C

  • Physician Assistant
  • Cypress, TX
National Provider Identifier
1790348373
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12722 Issued in TX
Practice address
21216 Northwest Fwy Ste 250
Cypress, TX 77429
Phone
(713) 426-2400
NPI assigned
Apr 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12722 TX Primary

Addresses

Primary practice location

21216 Northwest Fwy Ste 250
Cypress, TX 77429

Mailing address

21216 Northwest Fwy Ste 250
Cypress, TX 77429-4778
Phone (713) 426-2400

Other practice location 1

19722 Trevlig Trl
Houston, TX 77073-6360
Phone (254) 223-0164

Other practice location 2

19722 Trevlig Trl
Houston, TX 77073-6360
Phone (254) 223-0164

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
I20190823001563 TX Practitioner - Physician Assistant 8224366570 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12722TXMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: bnava368601@prddirect.texaschildrens.org

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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1790348373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY STE 250",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294778",
            "telephone_number": "713-426-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FWY STE 250",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "713-426-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19722 Trevlig Trl",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770736360",
            "country_code": "US",
            "telephone_number": "254-223-0164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19722 Trevlig Trl",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770736360",
            "country_code": "US",
            "telephone_number": "254-223-0164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVA",
        "first_name": "BRIDGETTE",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.