Individual provider Active NPI

Nisha John, N.P

  • Adult Health Nurse Practitioner
  • Stafford, TX
National Provider Identifier
1952790883
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP125684 Issued in TX
Practice address
503 Penwood CT
Stafford, TX 77477
Phone
(516) 304-1879
NPI assigned
Jan 15, 2015
Last updated
Jan 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP125684 TX Primary

Addresses

Primary practice location

503 Penwood CT
Stafford, TX 77477

Mailing address

503 Penwood CT
Stafford, TX 77477-6009
Phone (516) 304-1879

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
I20210908003184 TX Practitioner - Nurse Practitioner 7113323684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harris County Hospital DistrictGroup PAC ID 1456346402, 21 clinicians

Practice addresses (Care Compare)

602 Girard St
Houston, TX 77007-6218
Phone (713) 236-0119

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harris County Hospital District CurrentSince Oct 1, 2022 Accepting new patients
Harris County Hospital District CurrentSince Oct 1, 2022 Accepting new patients
Oakbend Medical Group CurrentSince Aug 25, 2021 Accepting new patients
Oakbend Medical Group CurrentSince Aug 25, 2021 Accepting new patients
Harris County Hospital District Past Accepting new patients

Locations

2118 Washington Ave
Houston, TX 77007
Phone (713) 869-3551

602 Girard St
Houston, TX 77007
Phone (713) 223-8104

4911 Sandhill Dr
Sugar Land, TX 77479
Phone (281) 238-7870

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1952790883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 PENWOOD CT",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774776009",
            "telephone_number": "516-304-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 PENWOOD CT",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "516-304-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "NISHA",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP125684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.