Organization Active NPI

Provisions Health Solutions LLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1881461846
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PROVISIONS HEALTH SOLUTIONS LLC
Practice address
5445 Almeda Rd Ste 305
Houston, TX 77004-7447
Phone
(832) 930-4133
NPI assigned
Dec 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Authorized official

Name
La Tasha Nichole Krauth
Title
Director
Phone
(346) 473-5945

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Adult Mental Health Clinic/Center 261QM0850X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

5445 Almeda Rd Ste 305
Houston, TX 77004-7447

Mailing address

5445 Almeda Rd Ste 305
Houston, TX 77004-7447
Phone (832) 930-4133

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717200000000",
    "number": "1881461846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 ALMEDA RD STE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047447",
            "telephone_number": "832-930-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 ALMEDA RD STE 305",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047447",
            "telephone_number": "832-930-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISIONS HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "KRAUTH",
        "authorized_official_first_name": "LA TASHA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "346-473-5945"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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, 2024; 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.