Individual provider Active NPI

Alexandria Sophia Prida

  • Physician Assistant
  • Kingwood, TX
National Provider Identifier
1831918697
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18817 Issued in TX
Practice address
1414 Green Oak Terrace CT
Kingwood, TX 77339-2960
Phone
(832) 846-5551
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18817 TX Primary

Addresses

Primary practice location

1414 Green Oak Terrace CT
Kingwood, TX 77339-2960

Mailing address

31119 Sellers Terrace Dr
Hockley, TX 77447-2325
Phone (832) 334-9882

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325000789 TX Practitioner - Physician Assistant 8820511454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

1414 Green Oak Terrace CT
Suite 200
Kingwood, TX 77339-2960
Phone (832) 846-5551

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

24510 Kingsland Blvd
Katy, TX 77494-3429
Phone (281) 394-2390

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

  • Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18817TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Feb 21, 2025 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Feb 21, 2025 Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

24510 Kingsland Blvd
Katy, TX 77494
Phone (281) 394-2390

1414 Green Oak Terrace Ct
Ste 200
Kingwood, TX 77339
Phone (281) 358-3800

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: alexandria.prida.1@8042.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1831918697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31119 SELLERS TERRACE DR",
            "city": "HOCKLEY",
            "state": "TX",
            "postal_code": "774472325",
            "telephone_number": "832-334-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 GREEN OAK TERRACE CT",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392960",
            "telephone_number": "832-846-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIDA",
        "first_name": "ALEXANDRIA",
        "middle_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.