Individual provider Active NPI

Vivian Yeldezian

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1851940829
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP145195 Issued in TX
Practice address
5749 San Felipe St
Houston, TX 77057-3101
Phone
(281) 336-0552
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 865537 TX
Nurse Practitioner 363L00000X AP145195 TX Primary

Addresses

Primary practice location

5749 San Felipe St
Houston, TX 77057-3101

Mailing address

3319 Delhi St
Houston, TX 77022-5135

Other practice location 1

21212 Northwest Fwy
Cypress, TX 77429-5884
Phone (281) 256-1423

Other practice location 2

2400 N Shepherd Dr
Houston, TX 77008-2989
Phone (832) 509-0458

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
I20200626000217 TX Practitioner - Nurse Practitioner 2264854876 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians

Practice addresses (Care Compare)

2400 N Shepherd Dr
Suite 140
Houston, TX 77008-2989
Phone (832) 509-0458

300 N Loop
Suite 100 Memorial Hermann Gohealth UC
Houston, TX 77008-2853
Phone (713) 426-9650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
865537TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Dec 8, 2020 Accepting new patients
Nluc PLLC CurrentSince Dec 8, 2020 Accepting new patients
Nluc PLLC Current Accepting new patients
Memorial Hermann Urgent Care PLLC CurrentSince Jun 17, 2024 Accepting new patients
Next Level MV LLC CurrentSince Jul 16, 2020 Accepting new patients
Next Level MV LLC CurrentSince Jul 16, 2020 Accepting new patients
Nluc PLLC Dba Next Level Urgent Care Past Accepting new patients
Singleton Associates PA Nurse Practitioner Past Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

2400 N Shepherd Dr
Houston, TX 77008
Phone (832) 509-0458

5749 San Felipe St
Houston, TX 77057
Phone (281) 362-7557

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

2510 Smith Ranch Rd
Ste 102
Pearland, TX 77584
Phone (346) 439-7481

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16107 Kensington Dr
Sugar Land, TX 77479
Phone (713) 513-7388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

19419 Gulf Fwy
Ste 3
Webster, TX 77598
Phone (281) 316-0885

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD
  • Direct secure messaging: vivian.yeldezian@mhghuc.eclinicaldirectplus.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1851940829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 DELHI ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770225135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5749 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770573101",
            "telephone_number": "281-336-0552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21212 Northwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774295884",
            "country_code": "US",
            "telephone_number": "281-256-1423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 N Shepherd Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770082989",
            "country_code": "US",
            "telephone_number": "832-509-0458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YELDEZIAN",
        "first_name": "VIVIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "865537",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP145195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.