Active NPI
Carolyn Leigh Davis-Teague, MSN, FNP-BC
- Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP120773
- Practice address
- 1500 Citywest Blvd
Ste. 300
Houston, TX 77042-2300 - Phone
- (713) 620-4000
- Fax
- (713) 458-4229
- NPI assigned
- May 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP120773 | TX | Primary |
Addresses
Primary practice location
1500 Citywest Blvd
Ste. 300
Houston, TX 77042-2300
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 715-5000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01553405 | Other | TX | RR MEDICARE |
| 296115302 | Medicaid | TX | |
| 8N0160 | Other | TX | BCBS |
| 296115303 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP120773 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Anesthesia Partners of Texas, PA | Nurse Practitioner | Current | Accepting new patients |
| MHS Physicians of Texas | Current | Accepting new patients | |
| Memorial Hermann Neighborhood Health Centers, PLLC | Current | Accepting new patients | |
| MHS Physicians of Texas | Current | Accepting new patients | |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Practitioner | Current | Accepting new patients |
Locations
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
1800 W 26th St
Ste 103
Houston, TX 77008
Phone (713) 957-8400
1500 Citywest Blvd
Ste 300
Houston, TX 77042
Phone (713) 458-4185
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
14023 Southwest Fwy
#A
Sugar Land, TX 77478
Organizations & group practices 5
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.
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Nurse Practitioner
-
dba Greater Houston Anesthesiology, P.A.
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1790943660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CITYWEST BLVD",
"address_2": "STE. 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770422300",
"telephone_number": "713-620-4000",
"fax_number": "713-458-4229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS-TEAGUE",
"first_name": "CAROLYN",
"middle_name": "LEIGH",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-28",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP120773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01553405",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "296115302",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8N0160",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "296115303",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.