Active NPI
Pauline Avila
- Nurse Practitioner
- Houston, TX
National Provider Identifier
1972133247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1031960
- Practice address
- 6565 Fannin St
Houston, TX 77030-2703 - Phone
- (713) 441-3020
- NPI assigned
- Jan 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 848064 | TX | |
| Nurse Practitioner | 363L00000X | 1031960 | TX | Primary |
Addresses
Primary practice location
6565 Fannin St
Houston, TX 77030-2703
Mailing address
6550 Fannin St Ste 1001
Houston, TX 77030-2740
Phone (713) 799-9997
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 848064 | TX | MD | Critical Care Medicine Registered Nurse |
Interoperability endpoints
- pavila67325@directhoustonmethodist.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1972133247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 FANNIN ST STE 1001",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302740",
"telephone_number": "713-799-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302703",
"telephone_number": "713-441-3020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "PAULINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TX",
"license": "848064",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1031960",
"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 Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.