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REVERENCE EQUALITY HEALTHCARE LLC NPI 1063002632


NPI Information

NPI: 1063002632
Provider Name: REVERENCE EQUALITY HEALTHCARE LLC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
11811 NORTH FWY STE 100
HOUSTON, TX
ZIP 77060
Phone: (346) 329-3181
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REVERENCE EQUALITY HEALTHCARE LLC is a nurse practitioner in Houston, TX. The provider is (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. REVERENCE EQUALITY HEALTHCARE LLC NPI is 1063002632. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11811 NORTH FWY STE 100
HOUSTON, TX
ZIP 77060-244
Phone: (346) 329-3181
Fax: (832) 558-9059

The provider's authorized official is Umecca Diane Cowart .
The authorized official title is Ceo and has the following contact phone number (346) 329-3181.

The enumeration date for this NPI number is 1/19/2021 and was last updated on 1/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TF0000XPsychologistFamilyNo
2103TP0016XPsychologistPrescribing (Medical)No
31041C0700XSocial WorkerClinicalNo
4133V00000XDietitian, RegisteredNo
5163W00000XRegistered NurseNo
6164W00000XLicensed Practical NurseNo
7207Q00000XFamily MedicineNo
8363LA2200XNurse PractitionerAdult HealthNo
9363LC1500XNurse PractitionerCommunity HealthNo
10363LG0600XNurse PractitionerGerontologyNo
11363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
12363LP2300XNurse PractitionerPrimary CareNo
13363LW0102XNurse PractitionerWomen's HealthNo
14363L00000XNurse PractitionerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11063002632MEDICAIDTEXAS
20260314MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.