Individual provider Active NPI

Myra Taylor, FNP-C

  • Family Nurse Practitioner
  • Humble, TX
National Provider Identifier
1952056525
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1036723 Issued in TX
Practice address
9025 N Sam Houston Pkwy E Ste 105
Humble, TX 77396-4399
Phone
(832) 777-1467
NPI assigned
Feb 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1036723 TX Primary

Addresses

Primary practice location

9025 N Sam Houston Pkwy E Ste 105
Humble, TX 77396-4399

Mailing address

1734 Avocet Way
Missouri City, TX 77489-1185
Phone (832) 867-3447

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
I20241021000032 TX Practitioner - Nurse Practitioner 2466984174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 W Adoue St
Alvin, TX 77511-2718
Phone 28182414801594

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince Aug 5, 2024 Accepting new patients
Smartchoice Health & Wellness Clinic PastSince Feb 24, 2022 Accepting new patients

Locations

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

9700 Bissonnet St
Ste 1000W
Houston, TX 77036
Phone (832) 828-1005

215 Oak Dr S
Ste H
Lake Jackson, TX 77566
Phone (979) 297-1007

Organizations & group practices 3

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": "1644624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1952056525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 AVOCET WAY",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774891185",
            "telephone_number": "832-867-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 N SAM HOUSTON PKWY E STE 105",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964399",
            "telephone_number": "832-777-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MYRA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-02-12",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1036723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.