Individual provider Active NPI

Ruth Awah

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1942668975
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP131899 Issued in TX
Practice address
12121 Westheimer Rd Ste 120
Houston, TX 77077-6654
Phone
(832) 810-4615
Fax
(832) 810-4617
NPI assigned
Feb 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131899 TX
Primary Care Nurse Practitioner 363LP2300X AP131899 TX
Nurse Practitioner 363L00000X AP131899 TX Primary

Addresses

Primary practice location

12121 Westheimer Rd Ste 120
Houston, TX 77077-6654

Mailing address

12121 Westheimer Rd Ste 120
Houston, TX 77077-6654
Phone (832) 810-4615

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

LicenseStateTypeSpecialty
AP131899TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Testmed-Clinic LLC Current Accepting new patients
TMD Telehealth LLC Current Accepting new patients

Locations

12121 Westheimer Rd
Ste 120
Houston, TX 77077
Phone (832) 277-4501

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": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1942668975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 WESTHEIMER RD STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776654",
            "telephone_number": "832-810-4615",
            "fax_number": "832-810-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 WESTHEIMER RD STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776654",
            "telephone_number": "832-810-4615",
            "fax_number": "832-810-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWAH",
        "first_name": "RUTH",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131899",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP131899",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP131899",
            "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 Apr 10, 2023; 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.