Active NPI
Premier Pediatrics of Houston
- Pediatric Nurse Practitioner
- Houston, TX
National Provider Identifier
1811235674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 20030764
- Legal business name
- PREMIER PEDIATRICS OF HOUSTON
- Practice address
- 2128 Spears Rd
Suite 300
Houston, TX 77067-1320 - Phone
- (281) 979-2112
- Fax
- (281) 884-3558
- NPI assigned
- Jan 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamecka Knight, CPNP, DNP
- Title
- Owner
- Phone
- (281) 979-2112
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 20030764 | TX | Primary |
Addresses
Primary practice location
2128 Spears Rd
Suite 300
Houston, TX 77067-1320
Mailing address
2128 Spears Rd
Suite 300
Houston, TX 77067-1320
Phone (281) 979-2112
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3117269-03 | Other | TX | TX HEALTH STEPS |
| 3117269-01 | Medicaid | TX | |
| 3117269-02 | Other | TX | CSHCN |
National Provider Directory
National Provider DirectoryLocations
2128 Spears Rd
Ste 300
Houston, TX 77067
Phone (281) 979-2112
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Houston, TX
- NPI 1780183475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402876800000",
"number": "1811235674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 SPEARS RD",
"address_2": "SUITE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770671320",
"telephone_number": "281-979-2112",
"fax_number": "281-884-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2128 SPEARS RD",
"address_2": "SUITE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770671320",
"telephone_number": "281-979-2112",
"fax_number": "281-884-3558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER PEDIATRICS OF HOUSTON",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-29",
"last_updated": "2014-06-16",
"status": "A",
"authorized_official_last_name": "KNIGHT",
"authorized_official_first_name": "TAMECKA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-979-2112",
"authorized_official_credential": "CPNP, DNP"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "20030764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX HEALTH STEPS",
"identifier": "3117269-03",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3117269-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "3117269-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Premier OB/GYN of West Houston, LLP
- Premier Optometry PLLC
- Premier Orthopedic & Spine Management
- Premier Orthopedic Surgery & Spine Health PLLC
- Premier Pain & Wellness Center PLLC
- Premier Primary Care, PLLC
- Premier Procedure Centers, LP
- Premier Psych Services LLC
- Premier RX Pharmacy
- Premier Speech & Swallowing Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.