Active NPI
Linda Renee Dervis
- Attendant Care Provider
- Houston, TX
National Provider Identifier
1912733163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 3747A0650X
- Practice address
- 1819 Howth Ave
Houston, TX 77051-3291 - Phone
- (832) 921-3653
- NPI assigned
- Sep 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 3747A0650X | TX | Primary |
Addresses
Primary practice location
1819 Howth Ave
Houston, TX 77051-3291
Mailing address
1819 Howth Ave
Houston, TX 77051-3291
Phone (832) 921-3653
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3747A0650X | TX | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1912733163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 HOWTH AVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770513291",
"telephone_number": "832-921-3653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 HOWTH AVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770513291",
"telephone_number": "832-921-3653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERVIS",
"first_name": "LINDA",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-12",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "TX",
"license": "3747A0650X",
"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 Sep 12, 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.