Active NPI
Pearl Healthcare, LLC
- Gerontology Nurse Practitioner
- Houston, TX
National Provider Identifier
1992291462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP118306
- Legal business name
- PEARL HEALTHCARE, LLC
- Practice address
- 3733 Westheimer Rd Ste 1-559
Houston, TX 77027-5271 - Phone
- (713) 955-7374
- Fax
- (702) 537-0985
- NPI assigned
- Jul 7, 2018
- 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
- Alero Obianyor Waterhouse, GNP-BC
- Title
- Director
- Phone
- (832) 722-1618
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Gerontology Nurse Practitioner | 363LG0600X | AP118306 | TX | Primary |
Addresses
Primary practice location
3733 Westheimer Rd Ste 1-559
Houston, TX 77027-5271
Mailing address
3733 Westheimer Rd Ste 1-559
Houston, TX 77027-5271
Phone (713) 955-7374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3919383 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
3733 Westheimer Rd
Ste 1559
Houston, TX 77027
Phone (713) 955-7374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552521600000",
"number": "1992291462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3733 WESTHEIMER RD STE 1-559",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770275271",
"telephone_number": "713-955-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3733 WESTHEIMER RD STE 1-559",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770275271",
"telephone_number": "713-955-7374",
"fax_number": "702-537-0985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARL HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-07",
"last_updated": "2019-03-14",
"status": "A",
"authorized_official_last_name": "WATERHOUSE",
"authorized_official_first_name": "ALERO",
"authorized_official_middle_name": "OBIANYOR",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "832-722-1618",
"authorized_official_credential": "GNP-BC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP118306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3919383",
"state": "TX"
}
],
"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 Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.