Individual provider Active NPI

Charlotte Rena Tenney, APRN-CNP

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1225752231
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1095780 Issued in TX
Practice address
14141 Southwest Fwy Ste 500
Sugar Land, TX 77478-3494
Phone
(281) 356-0364
Fax
(833) 711-1699
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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 1095780 TX Primary

Addresses

Primary practice location

14141 Southwest Fwy Ste 500
Sugar Land, TX 77478-3494

Mailing address

201 W Kay St
Dayton, TX 77535-2256
Phone (254) 217-9952

Other practice location 1

1201 N Travis St
Liberty, TX 77575-3539
Phone (936) 336-9175

Other practice location 2

4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206
Phone (866) 949-0108

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
I20221215003175 TX Practitioner - Nurse Practitioner 3971972878 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Center of Southeast TexasGroup PAC ID 9739195041, 18 clinicians

Practice addresses (Care Compare)

1400 N Travis St
Liberty, TX 77575-3138
Phone (936) 334-1185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1095780TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Center of Southeast Texas Current Accepting new patients
Health Center of Southeast Texas Family CurrentSince Oct 6, 2025 Accepting new patients
Providence Physician Associates CurrentSince Oct 20, 2022 Accepting new patients
Health Center of Southeast Texas Family CurrentSince Oct 6, 2025 Accepting new patients
Champion Wound Solutions PLLC CurrentSince Apr 12, 2025 Accepting new patients
Brazos Medical Center Past Accepting new patients

Locations

228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436

137 Route 303
Unit 513
Vly Cottage, NY 10989

307 N William Barnett Ave
Cleveland, TX 77327
Phone (281) 592-2224

2206 N Cleveland St
Dayton, TX 77535
Phone (281) 592-2224

6306 Fairbanks N Houston Rd
Ste 500
Houston, TX 77040
Phone (713) 732-4677

6302 Fairbanks N Houston Rd
Ste 500
Houston, TX 77040
Phone (832) 831-9094

4517 Kingwood Dr
Kingwood, TX 77345
Phone (281) 358-0013

1400 N Travis St
Liberty, TX 77575
Phone (936) 327-4660

204 W Park
Ste 200
Livingston, TX 77352
Phone (936) 327-4660

Interoperability endpoints

  • Direct secure messaging: ms_ctenney2@landmarkhealth-direct.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIDFAA

Organizations & group practices 6

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": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1225752231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W KAY ST",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352256",
            "telephone_number": "254-217-9952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14141 SOUTHWEST FWY STE 500",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783494",
            "telephone_number": "281-356-0364",
            "fax_number": "833-711-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 N Travis St",
            "address_purpose": "LOCATION",
            "city": "Liberty",
            "state": "TX",
            "postal_code": "775753539",
            "country_code": "US",
            "telephone_number": "936-336-9175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Mercantile Plaza Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761374206",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "fax_number": "901-422-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENNEY",
        "first_name": "CHARLOTTE",
        "middle_name": "RENA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1095780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.