Individual provider Active NPI

Robert Da Silva, APRN

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1073086229
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139362 Issued in TX
Practice address
200 River Pointe Dr Ste 120
Conroe, TX 77304-2817
Phone
(936) 756-2555
Fax
(936) 756-2534
NPI assigned
Jan 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139362 TX Primary

Addresses

Primary practice location

200 River Pointe Dr Ste 120
Conroe, TX 77304-2817

Mailing address

200 River Pointe Dr Ste 120
Conroe, TX 77304-2817
Phone (936) 756-2555

Other practice location 1

7214 Pavilion Dr
Houston, TX 77083-6923
Phone (713) 367-7937

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP139362TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Physicians of Montgomery County, P.a. PastSince Dec 29, 2019 Accepting new patients
Cardiovascular Care Providers, Inc. PastSince Dec 29, 2019 Accepting new patients

Organizations & group practices 2

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": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1073086229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVER POINTE DR STE 120",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042817",
            "telephone_number": "936-756-2555",
            "fax_number": "936-756-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RIVER POINTE DR STE 120",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042817",
            "telephone_number": "936-756-2555",
            "fax_number": "936-756-2534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7214 Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770836923",
            "country_code": "US",
            "telephone_number": "713-367-7937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DA SILVA",
        "first_name": "ROBERT",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.