Individual provider Active NPI

Frederied Rivera Lopez, APRN, FNP-BC,AAHIVS

  • Family Nurse Practitioner
  • The Woodlands, TX
National Provider Identifier
1174104582
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1174920 Issued in TX
Practice address
1011 Medical Plaza Dr Ste 130
The Woodlands, TX 77380-3248
Phone
(281) 600-8553
Fax
(877) 682-1984
NPI assigned
Apr 16, 2021
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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 1174920 TX Primary

Addresses

Primary practice location

1011 Medical Plaza Dr Ste 130
The Woodlands, TX 77380-3248

Mailing address

1011 Medical Plaza Dr Ste 130
The Woodlands, TX 77380-3248
Phone (281) 600-8553

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dr.ethrivecare.org Direct

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
I20241212001064 TX Practitioner - Nurse Practitioner 3476929613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Hope Foundation IncGroup PAC ID 4880508878, shared by 5 NPIs, 7 clinicians

Practice addresses (Care Compare)

1011 Medical Plaza Dr
Suite 130
The Woodland, TX 77380-3248
Phone (936) 217-0353

14815 Southwest Fwy
Sugar Land, TX 77478-5016
Phone (281) 277-8571

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Hope Foundation Inc CurrentSince Sep 13, 2024 Accepting new patients
Centerwell Senior Primary Care FL Inc Current Accepting new patients
Everest Thrivecare LLC Current Accepting new patients
St. Hope Foundation, Inc CurrentSince Sep 13, 2024 Accepting new patients
St Hope Foundation Inc Current Accepting new patients

Locations

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

5997 S Goldenrod Rd
Orlando, FL 32822
Phone (407) 241-8957

6800 West Loop S
Ste 560
Bellaire, TX 77401
Phone (713) 839-7111

1414 S Frazier St
Ste 105106
Conroe, TX 77301
Phone (936) 441-2440

255 Northpoint Dr
Ste 200
Houston, TX 77060
Phone (832) 300-8040

6200 Savoy Dr
Ste 540
Houston, TX 77036
Phone (713) 778-1300

1011 Medical Plaza Dr
Ste 130
The Woodlands, TX 77380
Phone (281) 367-7555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEIAED/Endpoint/FEIAED

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, 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": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1174104582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DR STE 130",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803248",
            "telephone_number": "281-600-8553",
            "fax_number": "877-682-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MEDICAL PLAZA DR STE 130",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803248",
            "telephone_number": "281-600-8553",
            "fax_number": "877-682-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA LOPEZ",
        "first_name": "FREDERIED",
        "name_prefix": "Dr.",
        "credential": "APRN, FNP-BC,AAHIVS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-16",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1174920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dr.ethrivecare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1011 Medical Plaza Dr Ste 130",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773803248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.