Individual provider Active NPI

Serena Marie Lopez, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Humble, TX
National Provider Identifier
1275953382
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125204 Issued in TX
Practice address
8000 N Sam Houston Pkwy E
Humble, TX 77396-2900
Phone
(281) 454-0101
Fax
(281) 454-0107
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 AP125204 TX Primary

Addresses

Primary practice location

8000 N Sam Houston Pkwy E
Humble, TX 77396-2900

Mailing address

8000 N Sam Houston Pkwy E
Humble, TX 77396-2900
Phone (281) 454-0101

Other names 1

  • Serena Marie Bautista Former name

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
I20150216000763 TX Practitioner - Nurse Practitioner 0446575435 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care PLLC Family CurrentSince Oct 19, 2024 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Mar 26, 2022 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Apr 1, 2015 Accepting new patients
Doctors Express of the Temple Area, PA CurrentSince Mar 26, 2022 Accepting new patients
Minuteclinic Primary Care Texas PLLC Family Current Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Apr 1, 2015 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

2469 Bay Area Blvd
Houston, TX 77058
Phone (281) 474-4042

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

5402 Westheimer Rd
Ste K
Houston, TX 77056
Phone (713) 877-1479

8000 N Sam Houston Pkwy E
Humble, TX 77396
Phone (281) 454-0101

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

5002 W Main St
League City, TX 77573
Phone (281) 557-4374

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240

5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

3614 SW H K Dodgen Loop
Ste F
Temple, TX 76504
Phone (254) 295-0117

Organizations & group practices 7

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275953382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 N SAM HOUSTON PKWY E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773962900",
            "telephone_number": "281-454-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 N SAM HOUSTON PKWY E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773962900",
            "telephone_number": "281-454-0101",
            "fax_number": "281-454-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "SERENA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERENA",
            "last_name": "BAUTISTA",
            "middle_name": "MARIE",
            "credential": "MSN, RN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.