Medfast Pediatric & Family Clinic
Nurse Practitioner

Address: 14520 Old Katy Rd, St 109, Houston, TX 77079
Phone: 8328471527

Medfast Pediatric & Family Clinic (NPI# 1942670401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1942670401
Entity Type Organization
Organization Name MEDFAST PEDIATRIC & FAMILY CLINIC
Practice Address 14520 Old Katy Rd, St 109
Houston
TX 77079
Practice Telephone 8328471527
Mailing Address 14520 Old Katy Rd, St 109
Houston
TX 77079
Mailing Telephone 8328471527
Authorized Official Name Olubunmi Olufunke Kazzim (DIRECTOR)
Authorized Official Telephone 8328471527
Authorized Official Credential FNP- C
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2015-09-28
Last Update Date 2015-09-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers AP128920 TX
No 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

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1275098451 Meliza B Chavez Nurse Practitioner 14207 Arborcrest St, Houston, TX 77062-2025 2019-02-01
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Office Location

Street Address 14520 OLD KATY RD, ST 109
City HOUSTON
State TX
Zip Code 77079

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164924650 Victoria Okon Licensed Vocational Nurse 14461 Still Meadow Dr., Houston, TX 77079 2018-03-01
1649711623 Deon Flenoy Case Manager/Care Coordinator 14027 Memorial Dr # 419, Houston, TX 77079 2017-03-10
1396298428 Supriya Krishnan Optometrist 14634 Memorial Dr, Houston, TX 77079 2016-07-25
1558742106 Evan Christopher Adams Dentist 909 Dairy Ashford Rd Ste 104, Houston, TX 77079 2015-06-09
1114313152 Yun Li Internal Medicine 13140 Trail Hollow Dr, Houston, TX 77079 2015-04-07
1629460308 Michelle Maligaya Registered Nurse 1201 N Dairy Ashford Rd Ste 100, Houston, TX 77079 2015-03-04
1144611989 Ryan M Keutzer Hearing Instrument Specialist 12900 Queensbury Ln #100, Houston, TX 77079 2015-02-16
1174929145 Lixana Vega Vega Md Pllc Surgery 950 Threadneedle Street, Suite 140, Houston, TX 77079 2014-11-18
1356743561 Dental Couture Pllc Clinic/Center 14637 Memorial Drive, Suite B, Houston, TX 77079 2014-09-18
1467718551 Erica Leigh Bartlett Plastic Surgery 950 Threadneedle St # St280, Houston, TX 77079 2012-04-03
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Competitor

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City HOUSTON
Zip Code 77079

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Dataset Information

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.

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