Active NPI
Promenade Healthcare, PLLC
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 702507
- Legal business name
- PROMENADE HEALTHCARE, PLLC
- Practice address
- 2611 Cypress Creek Pkwy Ste B100
Houston, TX 77068-3730 - Phone
- (713) 904-5150
- NPI assigned
- Mar 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Azizi Shani Johnson-Aubert, FNP-C
- Title
- Family Nurse Practitioner/Owner
- Phone
- (832) 250-7007
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Family Nurse Practitioner | 363LF0000X | 702507 | TX | Primary |
Addresses
Primary practice location
2611 Cypress Creek Pkwy Ste B100
Houston, TX 77068-3730
Mailing address
2611 Cypress Creek Pkwy Ste B100
Houston, TX 77068-3730
Phone (713) 904-5150
National Provider Directory
National Provider DirectoryLocations
2611 FM 1960 Rd W
Ste B100
Houston, TX 77068
Phone (281) 377-0770
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1922312917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684800000000",
"number": "1871033290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 CYPRESS CREEK PKWY STE B100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770683730",
"telephone_number": "713-904-5150",
"fax_number": "713-955-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 CYPRESS CREEK PKWY STE B100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770683730",
"telephone_number": "713-904-5150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROMENADE HEALTHCARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-04",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A",
"authorized_official_last_name": "JOHNSON-AUBERT",
"authorized_official_first_name": "AZIZI",
"authorized_official_middle_name": "SHANI",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER/OWNER",
"authorized_official_telephone_number": "832-250-7007",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "702507",
"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 May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.