Individual provider Active NPI

Elizabeth Dawn Zetak-Reyes, FNP-C

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Spring, TX
National Provider Identifier
1053132266
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
1179583 Issued in TX
Practice address
8201 Cypresswood Dr Ste 101
Spring, TX 77379-7587
Phone
(713) 527-2727
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 1179583 TX Primary

Addresses

Primary practice location

8201 Cypresswood Dr Ste 101
Spring, TX 77379-7587

Mailing address

30719 Legends Ridge Dr
Spring, TX 77386-3901
Phone (832) 616-0104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1179583TXMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Accurate Hospice I LLC Hospice and Palliative Medicine CurrentSince Oct 27, 2024 Accepting new patients

Locations

8201 Cypresswood Dr
Ste 101
Spring, TX 77379
Phone (713) 527-2727

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1053132266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30719 LEGENDS RIDGE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773863901",
            "telephone_number": "832-616-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 CYPRESSWOOD DR STE 101",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797587",
            "telephone_number": "713-527-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETAK-REYES",
        "first_name": "ELIZABETH",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "1179583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.