HERITAGE FAMILY CLINIC (NPI# 1144695826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144695826 |
| Entity Type | Organization |
| Organization Name | HERITAGE FAMILY CLINIC |
| Practice Address |
20923 Kingsland Blvd Katy TX 77450-5548 |
| Practice Telephone | 8325159903 |
| Mailing Telephone | 8325159903 |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2017-03-28 |
| Authorized Official Name | ANN AJOYAT BAKAMA (OWNER) |
| Authorized Official Telephone | 8325159903 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
AP123192 | TX | Ambulatory Health Care Facilities |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F1212090 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619421310 | Heritage Family Clinic | Nurse Practitioner | 11850 Fm 1960 Rd W, Houston, TX 77065-3840 | 2016-08-10 |
| Street Address |
20923 KINGSLAND BLVD |
| City | KATY |
| State | TX |
| Zip Code | 77450-5548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669453684 | Life's Solutions Hospice Care,inc | Hospice Care, Community Based | 20923 Kingsland Blvd, Katy, TX 77450-5548 | 2005-11-08 |
| 1669093290 | Ihealth Practitioners Inc | Clinic/Center | 20923 Kingsland Blvd, Katy, TX 77450-5548 | 2020-05-05 |
| 1386271617 | Ihealth Urgent Care Inc | Clinic/Center | 20923 Kingsland Blvd, Katy, TX 77450-5548 | 2020-03-25 |
| 1851854020 | Ihealth Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 20923 Kingsland Blvd, Katy, TX 77450-5548 | 2019-04-12 |
| 1215490487 | Ihealth Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 20923 Kingsland Blvd, Katy, TX 77450-5548 | 2019-04-12 |
| 1972063915 | Ihealth Clinics Inc | Clinical Medical Laboratory | 20923 Kingsland Blvd, Katy, TX 77450-5548 | 2019-03-25 |
| 1215381900 | Remy Zockazock | Internal Medicine | 20923 Kingsland Blvd, Katy, TX 77450-5548 | 2016-04-19 |
| 1881811453 | Tammy Yard-mccracken | Counselor | 20923 Kingsland Blvd, Katy, TX 77450-5548 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652555 | O'brien Counseling Services, Inc. | Counselor | 21368 Provincial Blvd., Katy, TX 77450 | 2018-09-07 |
| 1306327275 | Renova Wellness Clinic | Counselor | 468 Park Grove Ln, Katy, TX 77450 | 2018-08-28 |
| 1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
| 1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
| 1588191571 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd Ste 208, Katy, TX 77450 | 2017-05-22 |
| 1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
| 1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
| Find all providers in zip 77450 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245959 | Jerlys Suarez Lopez | Nurse Practitioner | 3810 N. Fry, Ste. 118, Katy, TX 77084 | 2020-11-02 |
| 1265049522 | Jenna Nazminia | Nurse Practitioner | 1615 Barrington Hills Ln, Katy, TX 77450-3686 | 2020-09-29 |
| 1235746728 | Laquinta Hampton | Nurse Practitioner | 24949 Katy Ranch Rd Apt 1712, Katy, TX 77494-7198 | 2020-09-28 |
| 1124633409 | Courtney Oyerbides | Nurse Practitioner | 2103 Blue Water Bay Dr, Katy, TX 77494-6224 | 2020-09-13 |
| 1912519679 | Tiffany Marie Falcon | Nurse Practitioner | 6855 S Mason Rd Apt 12105, Katy, TX 77450-1227 | 2020-08-23 |
| 1639789662 | Augustina C Okoronkwo | Nurse Practitioner | 18906 Hayes Grove Ln, Katy, TX 77449-1680 | 2020-08-04 |
| 1730706953 | Erliz Jessenia Maldonado | Nurse Practitioner | 3919 N Fry Road, Katy, TX 77449 | 2020-07-03 |
| 1609490168 | Ifeyinwa Peggy Eribenne | Nurse Practitioner | 24758 Grand Harbor Dr Apt 1601, Katy, TX 77494-0879 | 2020-06-01 |
| 1831710748 | Ibimina Fiberesima | Nurse Practitioner | 24522 Folkstone Cir, Katy, TX 77494-7601 | 2020-05-01 |
| 1457989998 | Anita Helen Cervantes | Nurse Practitioner | 23722 Indian Hills Way, Katy, TX 77494-2827 | 2020-03-30 |
| Find all providers in KATY | ||||
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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.