Active NPI
Your Choice Enterprises LLC
- Family Nurse Practitioner
- Stafford, TX
National Provider Identifier
1972113595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Practitioner | 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
- Your Choice Wellness Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.yourchoicewellnesscenter@gmail.com |
National Provider Directory
National Provider DirectoryLocations
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.