Active NPI
Allyson Nelms Wyatt, M.D.
- Pediatric Gastroenterology Physician
- The Woodlands, TX
National Provider Identifier
1821313784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- Q8191
- Practice address
- 17580 Interstate 45
Gi Clinic 5TH Floor
The Woodlands, TX 77384 - Phone
- (936) 267-7555
- NPI assigned
- Apr 5, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD 448777 | PA | |
| Pediatric Gastroenterology Physician | 2080P0206X | Q8191 | TX | Primary |
Addresses
Primary practice location
17580 Interstate 45
Gi Clinic 5TH Floor
The Woodlands, TX 77384
Mailing address
17580 Interstate 45 South
Suite 0440.08
The Woodlands, TX 77384
Phone (936) 267-7555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 448777 | PA | MD | Pediatrics Physician |
| Q8191 | TX | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Children'S Physician Group | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1821313784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17580 INTERSTATE 45 SOUTH",
"address_2": "SUITE 0440.08",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77384",
"telephone_number": "936-267-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17580 INTERSTATE 45",
"address_2": "GI CLINIC 5TH FLOOR",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77384",
"telephone_number": "936-267-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "ALLYSON",
"middle_name": "NELMS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-05",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD 448777",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "TX",
"license": "Q8191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.