EGRET BAY NEUROLOGY, PA
NPI 1750563748
Nurse Practitioner - Family in Houston, TX

NPI Status: Active since November 30, 2007

Contact Information

18333 EGRET BAY BLVD
SUITE 650
HOUSTON, TX
ZIP 77058
Phone: (281) 333-9933
Fax: (281) 333-4072

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 45D2006351
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-19-2026

About EGRET BAY NEUROLOGY, PA

This page provides the complete NPI Profile along with additional information for Egret Bay Neurology, Pa, a provider established in Houston, Texas operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1750563748 assigned on November 2007. The practitioner's primary taxonomy code is 363LF0000X with license number 554544 (TX). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mavis D Fujii Md (President)

NPI
1750563748
Provider Name
EGRET BAY NEUROLOGY, PA
Entity Type
Organization
Location Address
18333 EGRET BAY BLVD SUITE 650 HOUSTON, TX 77058
Location Phone
(281) 333-9933
Location Fax
(281) 333-4072
Mailing Address
18333 EGRET BAY BLVD SUITE 650 HOUSTON, TX 77058
Mailing Phone
(281) 333-9933
Mailing Fax
(281) 333-4072
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-30-2007
Last Update Date
12-05-2007
Code Navigator

A nurse practitioner (NP) like Egret Bay Neurology, Pa is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
554544
License State
TX

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MAVIS D FUJII MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(281) 333-9933

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G67039MEDICARE UPIN (02)TX 
00427YMEDICARE PIN (08)TX 
0018MQOTHER (01)TXBLUE CROSS

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2006351
Facility Type
Physician Office
Certificate Effective Date
April 20, 2024
Certificate Expiration Date
April 19, 2026
Laboratory Director
MAVIS FUJII
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Egret Bay Neurology, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EGRET BAY NEUROLOGY, PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750563748
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100106678
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 6 + 6 + 7 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1750563748 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447253174MS. JENNIFER E KOPECKY LCSW
Individual
Social Worker (Clinical)18333 EGRET BAY BLVD STE 270
HOUSTON, TX 77058
(281) 996-8373
1912901349 TOM W CAPO MA, LPC, LMFT, LCDC
Individual
Counselor (Addiction (Substance Use Disorder))18333 EGRET BAY BLVD STE 305
HOUSTON, TX 77058
(281) 333-5740
1396782538 TIA RENEE GLENN R.N., ANP
Individual
Nurse Practitioner (Adult Health)18333 EGRET BAY BLVD
HOUSTON, TX 77058
(281) 333-9933
1114965928 JEREMY CHENG-YUH WANG M.D.
Individual
Neurological Surgery18333 EGRET BAY BLVD SUITE 200
HOUSTON, TX 77058
(281) 333-1300
1063450948 RICHARD MEREDITH WESTMARK M.D.
Individual
Neurological Surgery18333 EGRET BAY BLVD SUITE 200
HOUSTON, TX 77058
(281) 333-1300
1356382634 GERARDO MARTIN MORENO P.A.-C
Individual
Physician Assistant (Surgical)18333 EGRET BAY BLVD SUITE 200
HOUSTON, TX 77058
(281) 333-1300
1811903644INNOVATIVE ALTERNATIVES, INC.
Organization
Counselor (Mental Health)18333 EGRET BAY BLVD SUITE 540
HOUSTON, TX 77058
(832) 864-6000
1720182173MRS. NICOLE P SPRINGER PHD LMFT
Individual
Marriage & Family Therapist18333 EGRET BAY BLVD STE 270
HOUSTON, TX 77058
(281) 335-3640
1013099399 MAVIS D FUJII M.D.
Individual
Psychiatry & Neurology (Neurology)18333 EGRET BAY BLVD SUITE 650
HOUSTON, TX 77058
(281) 333-9933
1033287784 DANA BUI PSY.D.
Individual
Psychologist18333 EGRET BAY BLVD SUITE 585
HOUSTON, TX 77058
(281) 335-3941
1306985023MRS. SHANNON PAIGE WENGER MA LPC
Individual
Counselor (Mental Health)18333 EGRET BAY BLVD SUITE 305
HOUSTON, TX 77058
(281) 333-5740
1972632602MRS. RUTH E. STITT L.P.C.
Individual
Counselor (Professional)18333 EGRET BAY BLVD SUITE 540
HOUSTON, TX 77058
(832) 864-6000
1467577031MISS SHARLENE NMN JOHNSON LPC, LBSW, LCDC
Individual
Counselor (Professional)18333 EGRET BAY BLVD SUITE 540
HOUSTON, TX 77058
(832) 864-6000
1710003785 LISA CAMBIANO MA, LMFT, LPC
Individual
Counselor (Professional)18333 EGRET BAY BLVD
HOUSTON, TX 77058
(281) 414-4413
1770752941MRS. JAMIE BLACKBURN MA, LPC
Individual
Counselor (Professional)18333 EGRET BAY BLVD STE 540
HOUSTON, TX 77058
(832) 864-6000
1598938763 CATHY RUTH TINGEY LMSW
Individual
Social Worker18333 EGRET BAY BLVD
HOUSTON, TX 77058
(281) 333-5740
1811140015PATRICIA P CORKE, MDPA
Organization
Behavior Analyst18333 EGRET BAY BLVD SUITE 305
HOUSTON, TX 77058
(281) 333-5740
1548497472DR. PATRICIA CORKE
Organization
Marriage & Family Therapist18333 EGRET BAY BLVD
HOUSTON, TX 77058
(281) 333-5740
1194057083PATRICIA P CORKE, MDPA
Organization
Psychiatry & Neurology (Psychiatry)18333 EGRET BAY BLVD SUITE 305
HOUSTON, TX 77058
(281) 333-5740
1639477748BAY AREA INTEGRATED SOLUTIONS, PLLC
Organization
Neurological Surgery18333 EGRET BAY BLVD SUITE 200
HOUSTON, TX 77058
(281) 333-1300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750563748, enumerated in the NPI registry as an "organization" on November 30, 2007

The provider is located at 18333 Egret Bay Blvd Suite 650 Houston, Tx 77058 and the phone number is (281) 333-9933

This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 45D2006351 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 30, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.