Individual provider Active NPI

Rosa Maria Fuentes, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1194171785
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126484 Issued in TX
Practice address
7364 Antoine Dr
Houston, TX 77088-7230
Phone
(713) 486-7350
Fax
(713) 486-0854
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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 AP126484 TX Primary

Addresses

Primary practice location

7364 Antoine Dr
Houston, TX 77088-7230

Mailing address

7364 Antoine Dr
Houston, TX 77088-7230
Phone (713) 486-7350

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
I20160525001566 TX Practitioner - Nurse Practitioner 3173812534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Physicians Specialty ServicesGroup PAC ID 2567544570, 83 clinicians

Practice addresses (Care Compare)

6410 Fannin St
Suite 170
Houston, TX 77030-3003
Phone (832) 325-6500

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP126484TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jun 1, 2016 Accepting new patients
Ut Physicians Specialty Services CurrentSince Jun 13, 2017 Accepting new patients
Ut Physicians CurrentSince Jun 1, 2016 Accepting new patients

Locations

6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736

6410 Fannin St
Ste 170
Houston, TX 77030
Phone (713) 704-6500

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

7364 Antoine Dr
Houston, TX 77088
Phone (713) 486-7350

Organizations & group practices 3

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1194171785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7364 ANTOINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770887230",
            "telephone_number": "713-486-7350",
            "fax_number": "713-486-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7364 ANTOINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770887230",
            "telephone_number": "713-486-7350",
            "fax_number": "713-486-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.