Organization Active NPI

Fidelis Healthcare Services, Inc.

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1922305242
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
FIDELIS HEALTHCARE SERVICES, INC.
Practice address
17625 El Camino Real
Suite 210
Houston, TX 77058-3052
Phone
(281) 954-3050
NPI assigned
Feb 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Ms. Dawn Gilbert
Title
Chief Financial Officer
Phone
(847) 605-0501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

17625 El Camino Real
Suite 210
Houston, TX 77058-3052

Mailing address

20 N Martingale Rd
Suite 180
Schaumburg, IL 60173-2412
Phone (847) 605-0501

National Provider Directory

National Provider Directory
Tax ID family
Fidelis Healthcare Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20 N Martingale Rd
Ste 180
Schaumburg, IL 60173

17625 El Camino Real
Ste 210
Houston, TX 77058
Phone (281) 954-3050

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1922305242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N MARTINGALE RD",
            "address_2": "SUITE 180",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601732412",
            "telephone_number": "847-605-0501",
            "fax_number": "847-517-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17625 EL CAMINO REAL",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583052",
            "telephone_number": "281-954-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELIS HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "847-605-0501",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "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 Feb 23, 2011; 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.