Individual provider Active NPI

Denise Michelle Rosales, NURSE PRACTITIONER

  • Pediatric Nurse Practitioner
  • Houston, TX
National Provider Identifier
1093127565
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1037724 Issued in TX
Practice address
1410 Fry Rd
Houston, TX 77084-5811
Phone
(281) 206-2235
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1037724 TX Primary

Addresses

Primary practice location

1410 Fry Rd
Houston, TX 77084-5811

Mailing address

122 W John Carpenter Fwy Ste 420
Irving, TX 75039-2014
Phone (972) 957-3000

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
I20240110004585 TX Practitioner - Nurse Practitioner 9436500774 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1037724TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical Group Inc CurrentSince Aug 8, 2021 Accepting new patients
Spring Branch Community Health Center CurrentSince Jan 15, 2024 Accepting new patients
Spring Branch Community Health Center CurrentSince Jan 15, 2024 Accepting new patients
Topcare Medical PA CurrentSince Aug 8, 2021 Accepting new patients
Spring Branch Community Health Center Past Accepting new patients

Locations

8575 Pitner Rd
Houston, TX 77080
Phone (713) 462-6545

1410 Fry Rd
Houston, TX 77084
Phone (281) 206-2234

1615 Hillendahl Blvd
Ste 100
Houston, TX 77055
Phone 7134626565125

800 W Sam Houston Pkwy S
Ste 200
Houston, TX 77042
Phone (832) 786-1018

122 W John Carpenter Fwy
Ste 420
Irving, TX 75039

5502 1st St
Katy, TX 77493
Phone 7134626565127

19333 Clay Rd
Katy, TX 77449
Phone (713) 462-6555

Organizations & group practices 5

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1093127565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W JOHN CARPENTER FWY STE 420",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392014",
            "telephone_number": "972-957-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 FRY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845811",
            "telephone_number": "281-206-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "DENISE",
        "middle_name": "MICHELLE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2021-08-03",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1037724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.