Individual provider Active NPI

Hailey Rosenberg

  • Primary Care Nurse Practitioner
  • Bellaire, TX
National Provider Identifier
1073160453
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP145102 Issued in TX
Practice address
6700 West Loop S Ste 225
Bellaire, TX 77401-4104
Phone
(281) 480-4740
NPI assigned
Aug 21, 2019
Last updated
Jun 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP145102 TX Primary
Registered Nurse 163W00000X 881796 TX

Addresses

Primary practice location

6700 West Loop S Ste 225
Bellaire, TX 77401-4104

Mailing address

6700 West Loop S Ste 225
Bellaire, TX 77401-4104
Phone (281) 480-4740

Other practice location 1

3215 Jane Way
Richmond, TX 77406-2567
Phone (281) 905-4137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
881796TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Galleria Pain Physicians PLLC CurrentSince Sep 5, 2020 Accepting new patients

Locations

6700 West Loop S
Ste 225
Bellaire, TX 77401
Phone (281) 393-4121

251 W Medical Center Blvd
Webster, TX 77598
Phone (281) 332-2496

Interoperability endpoints

  • Direct secure messaging: hailey.rosenberg@3188.securemail.prognocis.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1073160453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WEST LOOP S STE 225",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014104",
            "telephone_number": "281-480-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 WEST LOOP S STE 225",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014104",
            "telephone_number": "281-480-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3215 Jane Way",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774062567",
            "country_code": "US",
            "telephone_number": "281-905-4137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "HAILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP145102",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "881796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.