Individual provider Active NPI

Tenille Gibson-Farria, FNP-BC

  • Family Nurse Practitioner
  • Humble, TX
National Provider Identifier
1083198105
Registry record updated Apr 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138877 Issued in TX
Practice address
21210 Fox Orchard CT
Humble, TX 77338-4392
Phone
(832) 380-0232
NPI assigned
Sep 25, 2018
Last updated
Apr 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 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 AP138877 TX Primary

Addresses

Primary practice location

21210 Fox Orchard CT
Humble, TX 77338-4392

Mailing address

21210 Fox Orchard CT
Humble, TX 77338-4392
Phone (832) 380-0232

Other identifiers 1

IdentifierTypeStateIssuer
AP138877OtherTXAPRN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190513000082 TX Practitioner - Nurse Practitioner 2961745047

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4800 Fournace PL
Bellaire, TX 77401-2324

504 Medical Ctr Blvd
Conroe, TX 77304-2808

8918 Saratoga Forest Dr
Houston, TX 77088-1635

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harris County Hospital District CurrentSince Feb 5, 2025 Accepting new patients
Harris County Hospital District CurrentSince Feb 5, 2025 Accepting new patients

Locations

4800 Fournace Pl
Ste 600W
Bellaire, TX 77401
Phone (346) 426-0432

2118 Washington Ave
Houston, TX 77007
Phone (713) 869-3551

2903 Jensen Dr
Houston, TX 77026
Phone (713) 497-0966

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, 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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556323200000",
    "number": "1083198105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21210 FOX ORCHARD CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384392",
            "telephone_number": "832-380-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21210 FOX ORCHARD CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384392",
            "telephone_number": "832-380-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON-FARRIA",
        "first_name": "TENILLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2019-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN NUMBER",
            "identifier": "AP138877",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.