Individual provider Active NPI

Tammy Jean Bobbitt-Gray, FNP-C

  • Family Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1891394953
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1017380 Issued in TX
Practice address
10801 Choate Rd
Pasadena, TX 77507-1503
Phone
(713) 822-2457
Fax
(281) 291-3647
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1017380 TX Primary

Addresses

Primary practice location

10801 Choate Rd
Pasadena, TX 77507-1503

Mailing address

10801 Choate Rd
Pasadena, TX 77507-1503
Phone (713) 822-2457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1017380TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tbobbittgray34939@direct.kelsey-seybold.com

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1891394953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 CHOATE RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775071503",
            "telephone_number": "713-822-2457",
            "fax_number": "281-291-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 CHOATE RD",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775071503",
            "telephone_number": "713-822-2457",
            "fax_number": "281-291-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBBITT-GRAY",
        "first_name": "TAMMY",
        "middle_name": "JEAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1017380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.