PROMENADE HEALTHCARE, PLLC
NPI 1871033290
Nurse Practitioner - Family in Houston, TX
NPI Status: Active since March 04, 2017
Contact Information
2611 CYPRESS CREEK PKWY STE B100
HOUSTON, TX
ZIP 77068
Phone: (713) 904-5150
- Organization
- Nurse Practitioner
- Family
- Accepts Insurance
- CLIA Number: 45D2128996
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 04-10-2025
About PROMENADE HEALTHCARE, PLLC
This page provides the complete NPI Profile along with additional information for Promenade Healthcare, Pllc, 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 1871033290 assigned on March 2017. The practitioner's primary taxonomy code is 363LF0000X with license number 702507 (TX). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Azizi Shani Johnson-aubert Fnp-c (Family Nurse Practitioner/owner)
- NPI
- 1871033290
- Provider Name
- PROMENADE HEALTHCARE, PLLC
- Entity Type
- Organization
- Location Address
- 2611 CYPRESS CREEK PKWY STE B100 HOUSTON, TX 77068
- Location Phone
- (713) 904-5150
- Mailing Address
- 2611 CYPRESS CREEK PKWY STE B100 HOUSTON, TX 77068
- Mailing Phone
- (713) 904-5150
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-04-2017
- Last Update Date
- 05-23-2023
- Code Navigator
A nurse practitioner (NP) like Promenade Healthcare, Pllc 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.
- 702507
- License State
- TX
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QF0050X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 45D2128996
- Facility Type
- Practitioner Other
- Certificate Effective Date
- April 11, 2023
- Certificate Expiration Date
- April 10, 2025
- Laboratory Director
- AZIZI S. JOHNSON-AUBERT
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Promenade Healthcare, Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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. | |||||||||
| 1 | 8 | 7 | 1 | 0 | 3 | 3 | 2 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 14 | 1 | 0 | 3 | 6 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 4 + 1 + 0 + 3 + 6 + 2 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1871033290 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922312917 | MRS. AZIZI SHANI JOHNSON-AUBERT FNP-C Individual | Nurse Practitioner (Family) | 2611 CYPRESS CREEK PKWY STE B100 HOUSTON, TX 77068 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871033290, enumerated in the NPI registry as an "organization" on March 04, 2017
The provider is located at 2611 Cypress Creek Pkwy Ste B100 Houston, Tx 77068 and the phone number is (713) 904-5150
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2128996 for a "practitioner other" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on March 04, 2017. 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.