JANICE MERCILLIOTT (NPI# 1912411711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912411711 |
| Entity Type | Individual |
| Full Name | JANICE MERCILLIOTT |
| Credential | CPNP-PC |
| Practice Address |
12850 Memorial Dr Ste 210 Houston TX 77024 |
| Mailing Address |
Po Box 2083 Conroe TX 77305-2083 |
| Practice Telephone | 8328244000 |
| Mailing Telephone | 8325064741 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2018-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP135660 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12850 MEMORIAL DR STE 210 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225459233 | Starlight Pediatric Urgent Care | Pediatrics | 12850 Memorial Dr Ste 210, Houston, TX 77024-4973 | 2013-12-17 |
| 1619430634 | Ashley Nicole Carranza | Registered Nurse | 12850 Memorial Dr Ste 210, Houston, TX 77024-4973 | 2019-04-08 |
| 1700353323 | Erin Kalies | Nurse Practitioner | 12850 Memorial Dr Ste 210, Houston, TX 77024-4973 | 2018-11-01 |
| 1992173652 | Kimeco Williams | Nurse Practitioner | 12850 Memorial Dr Ste 210, Houston, TX 77024-4973 | 2015-09-10 |
| 1770970493 | Alya Abuhantesh | Pediatrics | 12850 Memorial Dr Ste 210, Houston, TX 77024-4973 | 2015-04-21 |
| 1205246774 | Jessie Jiexi Zhao | Pediatrics | 12850 Memorial Dr Ste 210, Houston, TX 77024 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955664 | Candace L Lillibridge | Physical Therapist | 700 Town & Country Blvd, Suite 2490, Houston, TX 77024 | 2020-02-24 |
| 1952940728 | Generations Provider Services LLC | Technician | 12633 Memorial Dr #242 Unit, Houston, TX 77024 | 2019-12-27 |
| 1912540352 | Francesca Penner | Psychologist | 920 Frostwood Drive, Suite 670 and 680, Houston, TX 77024 | 2019-10-17 |
| 1407498553 | Charles Hooks Iv | Technician | 12119 Perthshire Rd, Houston, TX 77024 | 2019-10-10 |
| 1427614379 | Texas Regional Clinic | Pain Medicine | 8301 Katy Freeway, Suite 101, Houston, TX 77024 | 2019-05-16 |
| 1922663871 | Fast Premier Transport LLC | Secured Medical Transport (VAN) | 811 Town and Country Blvd., Suite 141, Houston, TX 77024 | 2019-05-07 |
| 1205317534 | Hiro Health Corporation | Durable Medical Equipment & Medical Supplies | 8584 Katy Freeway, Suite 422, Houston, TX 77024 | 2018-08-24 |
| 1548799901 | K Med Pharmacy | Pharmacy | 11900 Barryknoll #6109, Houston, TX 77024 | 2017-06-08 |
| 1184166712 | Baylor College of Medicine | Clinic/Center | 8660 Memorial Drive, Houston, TX 77024 | 2016-11-14 |
| 1376092197 | Elyse Sears Dds Pllc | Dentist | 803 W Sam Houston Pkwy N, Ste 124, Houston, TX 77024 | 2016-09-22 |
| Find all providers in zip 77024 | ||||
| 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 | ||||
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| 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.