Organization Active NPI

Your Choice Enterprises LLC

  • Family Nurse Practitioner
  • Stafford, TX
National Provider Identifier
1972113595
Registry record updated Apr 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
YOUR CHOICE ENTERPRISES LLC
Practice address
11104 W Airport Blvd Ste 110
Stafford, TX 77477-3016
Phone
(281) 980-3328
Fax
(281) 676-5089
NPI assigned
Aug 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2023

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

Authorized official

Name
Dionnedra Northern, FNP-C
Title
Administrator
Phone
(281) 382-9992

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Infusion Agency 251F00000X
Community Based Hospice Care Agency 251G00000X
PACE Provider Organization 251T00000X
Early Intervention Provider Agency 252Y00000X
In Home Supportive Care Agency 253Z00000X
Health Service Clinic/Center 261QH0100X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

11104 W Airport Blvd Ste 110
Stafford, TX 77477-3016

Mailing address

16635 Spring Cypress Rd # 1846
Cypress, TX 77429-9998
Phone (281) 382-9992

Other names 2

  • Your Choice Home Health Doing business as
  • Your Choice Wellness Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.yourchoicewellnesscenter@gmail.com

National Provider Directory

National Provider Directory

Locations

11104 W Airport Blvd
Ste 110
Stafford, TX 77477
Phone (281) 564-2800

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682812800000",
    "number": "1972113595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16635 SPRING CYPRESS RD # 1846",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774299998",
            "telephone_number": "281-382-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 W AIRPORT BLVD STE 110",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773016",
            "telephone_number": "281-980-3328",
            "fax_number": "281-676-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CHOICE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2023-04-30",
        "certification_date": "2023-04-30",
        "status": "A",
        "authorized_official_last_name": "NORTHERN",
        "authorized_official_first_name": "DIONNEDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-382-9992",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.yourchoicewellnesscenter@gmail.com",
            "affiliation": "N",
            "address_1": "11104 W Airport Blvd Ste 110",
            "city": "Stafford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774773016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Your Choice Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Your Choice Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Your Choice Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.