Individual provider Active NPI

Paige Andria Wood

  • Family Nurse Practitioner
  • Mont Belvieu, TX
National Provider Identifier
1891552733
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02240698 Issued in TX
Practice address
11303 Eagle Dr
Mont Belvieu, TX 77523-7623
Phone
(281) 385-8111
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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 F02240698 TX Primary

Addresses

Primary practice location

11303 Eagle Dr
Mont Belvieu, TX 77523-7623

Mailing address

4918 Northrup Dr
Houston, TX 77092-3345
Phone (713) 530-5690

Other names 1

  • Paige Andria Gallardo Former name

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
I20241113000581 TX Practitioner - Nurse Practitioner 4789118712 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F02240698TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mont Belvieu Providers, PLLC CurrentSince Sep 2, 2024 Accepting new patients
Vip Health Services LLC PastSince Feb 2, 2025 Accepting new patients

Locations

11303 Eagle Dr
Mont Belvieu, TX 77523
Phone (281) 385-8111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCHADD

Organizations & group practices 2

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": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1891552733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4918 NORTHRUP DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770923345",
            "telephone_number": "713-530-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11303 EAGLE DR",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775237623",
            "telephone_number": "281-385-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "PAIGE",
        "middle_name": "ANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F02240698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "GALLARDO",
            "middle_name": "ANDRIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mont Belvieu, TX

Sources for this page

Verify at the official NPI Registry.