Individual provider Active NPI

Alero Obianyor Waterhouse, GNP-BC

  • Gerontology Nurse Practitioner
  • Houston, TX
National Provider Identifier
1902134489
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
716564 Issued in TX
Practice address
3733 Westheimer Rd Ste 1-559
Houston, TX 77027
Phone
(713) 955-7374
Fax
(702) 537-0985
NPI assigned
Nov 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 716564 TX
Gerontology Nurse Practitioner 363LG0600X 716564 TX Primary

Addresses

Primary practice location

3733 Westheimer Rd Ste 1-559
Houston, TX 77027

Mailing address

3733 Westheimer Rd Ste 1-559
Houston, TX 77027-5271
Phone (713) 955-7374

Other practice location 1

3733 Westheimer Rd Ste 1-559
Houston, TX 77027
Phone (713) 955-7374

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alero.waterhouse.1@19643.direct.athenahealth.com

Organizations & group practices 1

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": "1258848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1902134489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 WESTHEIMER RD STE 1-559",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275271",
            "telephone_number": "713-955-7374",
            "fax_number": "702-537-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 WESTHEIMER RD STE 1-559",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77027",
            "telephone_number": "713-955-7374",
            "fax_number": "702-537-0985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3733 Westheimer Rd Ste 1-559",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77027",
            "country_code": "US",
            "telephone_number": "713-955-7374",
            "fax_number": "702-537-0985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERHOUSE",
        "first_name": "ALERO",
        "middle_name": "OBIANYOR",
        "credential": "GNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-22",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "716564",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "716564",
            "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 Mar 21, 2019; 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.