REDIATE NEGASH


Address: 3550 Swingle Rd Ms Bcm 700, Houston, TX 77047
Phone: 7135471000

REDIATE NEGASH (NPI# 1801227665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801227665
Entity Type Individual
Full Name REDIATE NEGASH
Practice Address 3550 Swingle Rd Ms Bcm 700
Houston
TX 77047
Mailing Address 3133 Buffalo Speedway Apt 8201
Houston
TX 77098-1829
Practice Telephone 7135471000
Enumeration Date 2013-12-04
Last Update Date 2015-05-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP124506 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX NPI 1801227665 01

Office Location

Street Address 3550 SWINGLE RD MS BCM 700
City HOUSTON
State TX
Zip Code 77047

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City HOUSTON
Zip Code 77047

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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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