Individual provider Active NPI

Donna Louella Edwards, PMH- NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1871629840
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
548607 Issued in TX
Practice address
9525 Katy Fwy
Suite 312
Houston, TX 77024-1407
Phone
(713) 463-9449
Fax
(713) 463-7181
NPI assigned
Feb 26, 2007
Last updated
Oct 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 548607 TX Primary

Addresses

Primary practice location

9525 Katy Fwy
Suite 312
Houston, TX 77024-1407

Mailing address

9525 Katy Fwy
Suite 312
Houston, TX 77024-1407
Phone (713) 463-9449

Other identifiers 2

IdentifierTypeStateIssuer
165447702MedicaidTX
P00235651OtherTXRAILROAD MEDICARE

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
I20040528000189 TX Practitioner - Nurse Practitioner 5698756229 Reassigns benefits to 1 organization
Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BHC- Behavioral Health Consultants, IncGroup PAC ID 4587618319, 6 clinicians

Practice addresses (Care Compare)

9525 Katy Fwy
Suite 312
Houston, TX 77024-1467
Phone (713) 463-9449

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
548607TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHC- Behavioral Health Consultants, Inc Psychiatric/Mental Health CurrentSince Apr 1, 2004 Accepting new patients
Cyrus Sajadi, MD, PA Past Accepting new patients
University of Texas Health Science Center at Houston Past Accepting new patients

Locations

9055 Katy Fwy
Ste 312
Houston, TX 77024
Phone (713) 777-6233

9525 Katy Fwy
Ste 312
Houston, TX 77024
Phone (713) 343-3953

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1871629840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 KATY FWY",
            "address_2": "SUITE 312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241407",
            "telephone_number": "713-463-9449",
            "fax_number": "713-463-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 KATY FWY",
            "address_2": "SUITE 312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241407",
            "telephone_number": "713-463-9449",
            "fax_number": "713-463-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DONNA",
        "middle_name": "LOUELLA",
        "credential": "PMH- NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "548607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165447702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00235651",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.