Active NPI
Edna Rebecca Hedrick
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP139721
- Practice address
- 8405 Almeda Genoa Rd Ste U
Houston, TX 77075-2569 - Phone
- (832) 317-7852
- Fax
- (713) 609-9144
- NPI assigned
- Dec 19, 2018
- Last updated
- Jun 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP139721 | TX | Primary |
Addresses
Primary practice location
8405 Almeda Genoa Rd Ste U
Houston, TX 77075-2569
Mailing address
12022 Garner Mill LN
Houston, TX 77089-2390
Phone (832) 317-7852
Other names 1
- Edna Rebecca Crescini
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP139721 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerthy C Pierre LLC | Family | Current | Accepting new patients |
| Advanced Practice House Calls LLC | Family | Current | Accepting new patients |
| Advance Pharmacy LLC | Past | Accepting new patients |
Locations
2646 S Loop W
Ste 330
Houston, TX 77054
Phone (281) 888-4407
8405 Almeda Genoa Rd
Ste U
Houston, TX 77075
Phone (832) 317-7852
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1548991177
-
dba Sunrise Family Practice Weight loss and Pain Management
- Mental Health Clinic/Center (Including Community Mental Health Center)
- O'Fallon, IL
- NPI 1821746421
Family
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1962771733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1801368600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12022 GARNER MILL LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770892390",
"telephone_number": "832-317-7852",
"fax_number": "713-609-9144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8405 ALMEDA GENOA RD STE U",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770752569",
"telephone_number": "832-317-7852",
"fax_number": "713-609-9144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDRICK",
"first_name": "EDNA",
"middle_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP139721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EDNA",
"last_name": "CRESCINI",
"middle_name": "REBECCA",
"credential": "NP",
"code": "5",
"type": "Other Name"
}
]
}
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 Jun 24, 2022; 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.