Individual provider Active NPI

Dolores Reyes, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1235758160
Registry record updated Oct 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145585 Issued in TX
Practice address
6306 Fairbanks N Houston Rd
Houston, TX 77040-5192
Phone
(832) 831-9094
Fax
(832) 379-7446
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2022

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 AP145585 TX Primary

Addresses

Primary practice location

6306 Fairbanks N Houston Rd
Houston, TX 77040-5192

Mailing address

6306 Fairbanks N Houston Rd Ste 500
Houston, TX 77040-5193
Phone (832) 831-9094

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
I20210726003686 TX Practitioner - Nurse Practitioner 9830592054 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Physician Associates CurrentSince Sep 12, 2022 Accepting new patients
Brookhollow OB & GYN Clinic, PLLC CurrentSince Jul 1, 2021 Accepting new patients
Brazos Medical Center Past Accepting new patients

Locations

10109 Louetta Rd
Ste 101
Houston, TX 77070
Phone (832) 230-1803

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

14990 Northwest Fwy
Houston, TX 77040
Phone (832) 200-1130

Interoperability endpoints

  • Direct secure messaging: dolores.reyes@3870.securemail.prognocis.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665273600000",
    "number": "1235758160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6306 FAIRBANKS N HOUSTON RD STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405193",
            "telephone_number": "832-831-9094",
            "fax_number": "832-379-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6306 FAIRBANKS N HOUSTON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405192",
            "telephone_number": "832-831-9094",
            "fax_number": "832-379-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "DOLORES",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2022-10-09",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.