PREMIER PEDIATRICS OF HOUSTON (NPI# 1811235674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811235674 |
| Entity Type | Organization |
| Organization Name | PREMIER PEDIATRICS OF HOUSTON |
| Practice Address |
2128 Spears Rd Suite 300 Houston TX 77067-1320 |
| Practice Telephone | 2819792112 |
| Practice Fax Number | 2818843558 |
| Mailing Telephone | 2819792112 |
| Mailing Fax Number | 2818843558 |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2014-06-16 |
| Authorized Official Name | TAMECKA KNIGHT (OWNER) |
| Authorized Official Telephone | 2819792112 |
| Authorized Official Credential | CPNP, DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
20030764 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TX HEALTH STEPS | 3117269-03 | 01 |
| TX | 3117269-01 | 05 | |
| TX | CSHCN | 3117269-02 | 01 |
| Street Address |
2128 SPEARS RD SUITE 300 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77067-1320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982806709 | Tamecka Knight | Nurse Practitioner | 2128 Spears Rd, Suite 300, Houston, TX 77067-1317 | 2007-06-04 |
| 1649759952 | Hong Nguyen | Nurse Practitioner | 2128 Spears Rd, Ste 600, Houston, TX 77067-1318 | 2018-08-08 |
| 1053756643 | Vanbiber Medical Clinic | Specialist | 2128 Spears Rd, Houston, TX 77067 | 2013-05-08 |
| 1285977645 | Vanbiber Family Practice Pllc | Clinic/Center | 2128 Spears Rd, Houston, TX 77067 | 2013-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023646718 | Tracy Ann Strown | Nurse Practitioner | 11626 Tc Jester Rd, Suite 500, Houston, TX 77067 | 2020-03-30 |
| 1932731056 | Kalena Nicole Terry | Counselor | 390 Glenborough Dr, 156, Houston, TX 77067 | 2020-02-06 |
| 1891293874 | Marceda Casilda Jackson | Home Health | 832 West Greens Road, Apt 213, Houston, TX 77067 | 2018-01-25 |
| 1841673159 | Cam Ngoc T. Dong | Dentist | 11399 Veterans Memeorial Dr, Houston, TX 77067 | 2015-07-06 |
| 1215282066 | Patricia Ann Perkins | Advanced Practice Midwife | 700 North Sam Houston Parkway Wesst, Houston, TX 77067 | 2012-07-18 |
| 1508152125 | Db Pharmacy, Pllc | Pharmacist | 12100-e Veterans Memorial Dr., Houston, TX 77067 | 2011-06-22 |
| 1689879702 | Chiro Dc | Chiropractor | 11210 Veterans Memorial, Suite C, Houston, TX 77067 | 2007-06-19 |
| 1295802734 | Peter Nguyen Van Tho | Dentist | 12002 Veterans Memorial Drive, Suite B3, Houston, TX 77067 | 2006-11-29 |
| 1659450682 | Sherry Ann Pringle | Dentist | 12134 Veterans Memorial Dr, Houston, TX 77067 | 2006-11-02 |
| 1689756918 | Charles Eugene Fontanier | General Practice | 210 W Greens Rd, Suite C, Houston, TX 77067 | 2006-10-19 |
| Find all providers in zip 77067 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184266538 | Kristen Nicole Herzog | Nurse Practitioner | 1644 W 13th St, Houston, TX 77008-6451 | 2019-10-16 |
| 1023667185 | Kristin Becker | Nurse Practitioner | 18200 Katy Fwy Ste Wd200, Houston, TX 77094-1399 | 2019-09-10 |
| 1740763721 | Emily Christopherson Shushtari | Nurse Practitioner | 1619 Scenic Ridge Dr, Houston, TX 77043-3408 | 2018-09-14 |
| 1619454097 | Debbie Raucci Robbins | Nurse Practitioner | 3845 Cypress Creek Pkwy Ste 180, Houston, TX 77068-3532 | 2018-07-27 |
| 1063901627 | Tonya Barnett | Nurse Practitioner | 15555 Kuykendahl Rd Fl 3, Houston, TX 77090-3651 | 2018-05-08 |
| 1619342565 | Ritika Tina Dewan | Nurse Practitioner | 6621 Fannin St Fl 1, Houston, TX 77030-2358 | 2015-12-03 |
| 1467858175 | Jessica Marie Ginn | Nurse Practitioner | 8329 Lawndale St, Houston, TX 77012-3707 | 2014-11-06 |
| 1629492277 | Mackenzie Clotworthy | Nurse Practitioner | 4211 Watonga Blvd, Houston, TX 77092-5324 | 2014-02-18 |
| 1477875037 | Hiji Geneva Washington | Nurse Practitioner | 5410 N Braeswood Blvd Apt 912, Houston, TX 77096-3251 | 2010-02-24 |
| 1124355052 | Susan Cooley King | Nurse Practitioner | 9 Greenway Plaza, Suite 2950, Houston, TX 77046 | 2009-11-13 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on PREMIER PEDIATRICS OF HOUSTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.