Organization Active NPI

Ivory Family Health & Wellness Clinic Inc

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1972853166
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
684876 Issued in TX
Legal business name
IVORY FAMILY HEALTH & WELLNESS CLINIC INC
Practice address
7457 Harwin Dr Ste 133
Houston, TX 77036-2023
Phone
(832) 649-3967
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Veronica Ositadinma Dike, NP
Title
Nurse Practitioner
Phone
(832) 649-3967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 684876 TX Primary

Addresses

Primary practice location

7457 Harwin Dr Ste 133
Houston, TX 77036-2023

Mailing address

7457 Harwin Dr Ste 133
Houston, TX 77036-2023
Phone (832) 649-3967

National Provider Directory

National Provider Directory

Locations

7457 Harwin Dr
Ste 133
Houston, TX 77036
Phone (832) 649-3967

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1972853166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7457 HARWIN DR STE 133",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362023",
            "telephone_number": "832-649-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7457 HARWIN DR STE 133",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362023",
            "telephone_number": "832-649-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORY FAMILY HEALTH & WELLNESS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "DIKE",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "OSITADINMA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "832-649-3967",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "684876",
            "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 Sep 14, 2012; 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.