Individual provider Active NPI

Lizandra Rosales, APRN, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1265904866
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140040 Issued in TX
Practice address
12779 Jones Rd Ste 109
Houston, TX 77070-4687
Phone
(346) 206-3963
Fax
(346) 206-3983
NPI assigned
Dec 20, 2018
Last updated
May 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 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 AP140040 TX Primary

Addresses

Primary practice location

12779 Jones Rd Ste 109
Houston, TX 77070-4687

Mailing address

12779 Jones Rd Ste 109
Houston, TX 77070-4687
Phone (346) 206-3963

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
I20200103001738 TX Practitioner - Nurse Practitioner 0446684153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12779 Jones Rd
Suite 109
Houston, TX 77070-4687
Phone (346) 206-3963

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140040TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Your Choice Provider Services,LLC CurrentSince Jun 1, 2022 Accepting new patients
Hispano -American Family Clinic LLC CurrentSince Dec 1, 2019 Accepting new patients
MD Family Solutions PLLC Past Accepting new patients

Locations

12779 Jones Rd
Ste 109
Houston, TX 77070
Phone (281) 935-2560

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAGDCD/Endpoint/IAGDCD
  • Direct secure messaging: lizandra.pereira-corzo@hafc-tx.direct.office.nextgen.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, 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": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1265904866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12779 JONES RD STE 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704687",
            "telephone_number": "346-206-3963",
            "fax_number": "346-206-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12779 JONES RD STE 109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704687",
            "telephone_number": "346-206-3963",
            "fax_number": "346-206-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "LIZANDRA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2022-05-05",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.