NPIMap

Organization Active NPI

Family Surehealth Clinic LLC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1821382359
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
609245 Issued in TX
Legal business name
FAMILY SUREHEALTH CLINIC LLC
Practice address
10101 Bissonnet St
Suite 105
Houston, TX 77036-7855
Phone
(281) 888-9458
Fax
(281) 888-4654
NPI assigned
Jun 1, 2011
Organization subpart
Yes
Parent organization
FAMILY SUREHEALTH CLINIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Ms. Scholastica Nnenna Nwodo, FNP
Title
Director
Phone
(832) 755-7805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 609245 TX Primary

Addresses

Primary practice location

10101 Bissonnet St
Suite 105
Houston, TX 77036-7855

Mailing address

10101 Bissonnet St
Suite 105
Houston, TX 77036-7855
Phone (281) 888-9458

National Provider Directory

National Provider Directory
Tax ID family
Family Surehealth Clinic LLC2 organizations share this tax ID, including this one
Part of
Family Surehealth Clinic LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1821382359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 BISSONNET ST",
            "address_2": "SUITE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367855",
            "telephone_number": "281-888-9458",
            "fax_number": "281-888-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 BISSONNET ST",
            "address_2": "SUITE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367855",
            "telephone_number": "281-888-9458",
            "fax_number": "281-888-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SUREHEALTH CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY SUREHEALTH CLINIC LLC",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "NWODO",
        "authorized_official_first_name": "SCHOLASTICA",
        "authorized_official_middle_name": "NNENNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-755-7805",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "609245",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 1, 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.