Active NPI
Genesis Health and Wellness Clinic &Spa, PLLC
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1992438717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GENESIS HEALTH AND WELLNESS CLINIC &SPA, PLLC
- Practice address
- 525 N Sam Houston Pkwy E Ste 255
Houston, TX 77060-4017 - Phone
- (832) 672-4739
- Fax
- (832) 575-4999
- NPI assigned
- Jul 8, 2022
- 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
- Sandra Norris- Deckard, NP-C
- Title
- Owner
- Phone
- (832) 672-4739
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
525 N Sam Houston Pkwy E Ste 255
Houston, TX 77060-4017
Mailing address
525 N Sam Houston Pkwy E Ste 255
Houston, TX 77060-4017
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2193560 | Genesis Health and Wellness Clinic & Spa, PLLC | Certificate of waiver | Sep 21, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1073002275
-
- Pediatrics Physician
- Spring, TX
- NPI 1396316683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657238400000",
"number": "1992438717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 N SAM HOUSTON PKWY E STE 255",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770604017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N SAM HOUSTON PKWY E STE 255",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770604017",
"telephone_number": "832-672-4739",
"fax_number": "832-575-4999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS HEALTH AND WELLNESS CLINIC &SPA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-08",
"last_updated": "2022-07-08",
"certification_date": "2022-07-08",
"status": "A",
"authorized_official_last_name": "NORRIS- DECKARD",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-672-4739",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.