Organization Active NPI

Premier Pediatrics of Houston

  • Pediatric Nurse Practitioner
  • Houston, TX
National Provider Identifier
1811235674
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
20030764 Issued in TX
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

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Tamecka Knight, CPNP, DNPNPI 1982806709
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)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3117269-03OtherTXTX HEALTH STEPS
3117269-01MedicaidTX
3117269-02OtherTXCSHCN

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.