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Organization Active NPI

Vanguard Geriatrics of Texas Inc

  • Primary Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1801129515
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
VANGUARD GERIATRICS OF TEXAS INC
Practice address
4660 Beechnut St Ste 218
Houston, TX 77096-1825
Phone
(713) 521-0006
NPI assigned
Sep 13, 2009
Last updated
Sep 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Mrs. Edith Spossey Sax, MSN RN GNP BC
Title
President
Phone
(713) 521-0006

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X TX
Family Nurse Practitioner 363LF0000X TX
Family Nurse Practitioner 363LF0000X 684295 TX
Family Nurse Practitioner 363LF0000X 546547 TX
Family Nurse Practitioner 363LF0000X 256300 TX
Family Nurse Practitioner 363LF0000X 790602 TX
Gerontology Nurse Practitioner 363LG0600X 607064 TX
Gerontology Nurse Practitioner 363LG0600X TX
Gerontology Nurse Practitioner 363LG0600X 702414 TX
Primary Care Nurse Practitioner 363LP2300X TX Primary
Internal Medicine Physician 207R00000X TX
Geriatric Medicine (Internal Medicine) Physician 207RG0300X TX
General Practice Physician 208D00000X TX

Addresses

Primary practice location

4660 Beechnut St Ste 218
Houston, TX 77096-1825

Mailing address

4660 Beechnut St Ste 218
Houston, TX 77096-1825
Phone (713) 521-0006

Other identifiers 2

IdentifierTypeStateIssuer
207383501MedicaidTX
0021SUOtherTXBCBS TX

National Provider Directory

National Provider Directory

Locations

4660 Beechnut St
Ste 218
Houston, TX 77096
Phone (713) 521-0006

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1252800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1801129515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 BEECHNUT ST STE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961825",
            "telephone_number": "713-521-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 BEECHNUT ST STE 218",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961825",
            "telephone_number": "713-521-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD GERIATRICS OF TEXAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-13",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "SPOSSEY SAX",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-521-0006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN RN GNP BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "684295",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "546547",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "256300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "790602",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "607064",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "702414",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207383501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "0021SU",
            "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 Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.