Victoria Gacad Faires, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

508108 Issued in TX

Practice address

5420 Bellaire Blvd Ste a
Bellaire, TX 77401-3957

Phone

(713) 663-6322

NPI assigned

Jan 27, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Vicky Faires Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pre Med Care Clinic, LLC

  • Family Medicine Physician
  • Bellaire, TX
  • NPI 1861404691
  Medicare reassignment NPD
• Bel Professional Medical Group

  • Internal Medicine Physician
  • Bellaire, TX
  • NPI 1154845741
  NPD

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1184047110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 BELLAIRE BLVD STE A",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013957",
            "telephone_number": "713-663-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 BELLAIRE BLVD STE A",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013957",
            "telephone_number": "713-663-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRES",
        "first_name": "VICTORIA",
        "middle_name": "GACAD",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "508108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKY",
            "last_name": "FAIRES",
            "prefix": "MRS.",
            "credential": "MS, FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eye Care Solutions, LLC
• Eye Center of Texas LLP
• James S Ezelle, M.D.
• Princess Ezenwa, NP
• Elie E Ezzie, DDS
• Faithful Hands Services
• Nessette Falu, RPA-C
• Family Mental Health Center, Inc.
• Kenneth Chen Fan, M.D., M.B.A.
• Ting Fang-Suarez, M.D.

• Family Nurse Practitioner in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.