Faiza Haque

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP143995 Issued in TX

Practice address

12234 Shadow Creek Pkwy Ste 4104
Pearland, TX 77584-7333

Phone

(713) 429-5325

NPI assigned

Nov 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 6

Medicare fee-for-service enrollment

Enrolled in TX, CO, MI3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Behavioral Health PLLCGroup PAC ID 3971890948, 46 clinicians

Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DEBFAD

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.

• Texas Behavioral Health PLLC

  • Psychiatry Physician
  • Pearland, TX
  • NPI 1881044337

  CO

  Medicare reassignment Care Compare group NPD
• Memorial Hermann Medical Group

  • Family Medicine Physician
  • Fulshear, TX
  • NPI 1003985102
  Medicare reassignment Care Compare group
• Metropolitan Hospital

  • Internal Medicine Physician
  • Wyoming, MI
  • NPI 1811937519
  Medicare reassignment NPD
• Proactive Minds, PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellaire, TX
  • NPI 1902581911
  NPD Authorized official
• United Psychiatry Institute, LLC

  • Child & Adolescent Psychiatry Physician
  • Houston, TX
  • NPI 1689913279
  NPD
• Kairos Medical LLC

  • Psychiatry Physician
  • Friendswood, TX
  • NPI 1619824182
  NPD (past)
• Clear Choice Dermatology

  • Dermatology Physician
  • The Dalles, OR
  • NPI 1891327185
  NPD (past)

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1982249728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY STE 4104",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847333",
            "telephone_number": "713-429-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY STE 4104",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847333",
            "telephone_number": "713-429-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "FAIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP143995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ECW",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "12234 Shadow Creek Pkwy Ste 4104",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775847333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ECW",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "12234 Shadow Creek Pkwy Ste 4104",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775847333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ECW",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "12234 Shadow Creek Pkwy Ste 4104",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775847333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ECW",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "12234 Shadow Creek Pkwy Ste 4104",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775847333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ECW",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "12234 Shadow Creek Pkwy Ste 4104",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775847333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ECW",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "12234 Shadow Creek Pkwy Ste 4104",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775847333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raymond W Hammond, PHARM.D., BCPS
• Leigh Han
• Christopher Lovell Hankins, M.D.
• Issa Hanna, DDS
• Fasiha Haq, MD
• Riaz Ul Haque, M.D.
• Ligia Maria Harcourt, LMT
• Danielle Brooks Hardaway
• Shane Harder
• Hope Hardy

• Psychiatric/Mental Health Nurse Practitioner in Pearland, TX
• Providers in Pearland, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.