Individual provider Active NPI

Larneatha Michelle Wiley, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1972165876
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138097 Issued in TX
Practice address
2008 S Wayside Dr Ste 500
Houston, TX 77023-2807
Phone
(281) 707-7365
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 776447 TX
Family Nurse Practitioner 363LF0000X AP138097 TX Primary

Addresses

Primary practice location

2008 S Wayside Dr Ste 500
Houston, TX 77023-2807

Mailing address

9843 Linden Hollow Dr
Humble, TX 77396-4324
Phone (832) 512-1139

Other practice location 1

255 Assay St
Houston, TX 77044-3519
Phone (832) 350-8839

Other practice location 2

9843 Linden Hollow Dr
Humble, TX 77396-4324
Phone (832) 512-1139

Other practice location 3

11040 East Fwy
Houston, TX 77029-1931
Phone (713) 453-8328

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
I20240530000993 TX Practitioner - Nurse Practitioner 3678915097 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

2008 S Wayside Dr
Suite 500
Houston, TX 77023-2807
Phone (281) 707-7365

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
776447TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Imaging Center LLC CurrentSince Sep 11, 2024 Accepting new patients
Oak Street Health of Texas, PLLC Family CurrentSince Feb 2, 2026 Accepting new patients
Jameson Bowles DO, PLLC CurrentSince Sep 11, 2024 Accepting new patients

Locations

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

2008 S Wayside Dr
Ste 500
Houston, TX 77023
Phone (281) 707-7365

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

17516 US Highway 59
Ste 100
New Caney, TX 77357
Phone (832) 855-3080

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1972165876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9843 LINDEN HOLLOW DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964324",
            "telephone_number": "832-512-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 S WAYSIDE DR STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770232807",
            "telephone_number": "281-707-7365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Assay St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770443519",
            "country_code": "US",
            "telephone_number": "832-350-8839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9843 Linden Hollow Dr",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773964324",
            "country_code": "US",
            "telephone_number": "832-512-1139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11040 East Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770291931",
            "country_code": "US",
            "telephone_number": "713-453-8328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILEY",
        "first_name": "LARNEATHA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "776447",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.