Individual provider Active NPI

Lutricia Harrison, N.P.

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1912948555
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
620452 Issued in TX
Practice address
412 N Sam Houston Pkwy E
Suite H
Houston, TX 77060-3508
Phone
(281) 260-6622
Fax
(281) 260-6688
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 620452 TX
Nurse Practitioner 363L00000X 620452 TX Primary

Addresses

Primary practice location

412 N Sam Houston Pkwy E
Suite H
Houston, TX 77060-3508

Mailing address

412 North Sam Houston Parkway East
Suite H
Houston, TX 77060
Phone (281) 260-6622

Other identifiers 6

IdentifierTypeStateIssuer
183321201MedicaidTX
2698846OtherTXUNITED HEALTHCARE
620452OtherTXFNP
01165509OtherTXAMERIGROUP
183321202OtherTXTEXAS HEALTH STEPS
NP7239OtherBLUE CROSS BLUE SHIELD

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
I20061027000413 TX Practitioner - Nurse Practitioner 9032116470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

412 N Sam Houston Pkwy E
Suite H
Houston, TX 77060-3508
Phone (281) 260-6622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
620452TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NPC Family Health Clinic PC Family CurrentSince Jul 22, 2012 Accepting new patients
Nurse Practitioner Calls, P.C. Nurse Practitioner PastSince Jul 22, 2012 Accepting new patients

Locations

412 N Sam Houston Pkwy E
#H
Houston, TX 77060
Phone (281) 260-6622

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1912948555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 NORTH SAM HOUSTON PARKWAY EAST",
            "address_2": "SUITE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77060",
            "telephone_number": "281-260-6622",
            "fax_number": "281-260-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N SAM HOUSTON PKWY E",
            "address_2": "SUITE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603508",
            "telephone_number": "281-260-6622",
            "fax_number": "281-260-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "LUTRICIA",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "620452",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "620452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183321201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2698846",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "620452",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01165509",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH STEPS",
            "identifier": "183321202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NP7239",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.