Individual provider Active NPI

Liuber Forte Rodriguez

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1285282020
Registry record updated Oct 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1045878 Issued in TX
Practice address
15881 FM 529 Rd Ste a
Houston, TX 77095-2423
Phone
(346) 646-4218
NPI assigned
Aug 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1045878 TX Primary
Registered Nurse 163W00000X 909537 TX

Addresses

Primary practice location

15881 FM 529 Rd Ste a
Houston, TX 77095-2423

Mailing address

11818 Airline Dr
Houston, TX 77037-1030

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
I20230831003500 TX Practitioner - Nurse Practitioner 7517320955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

15881 FM 529 Rd
Houston, TX 77095-2577
Phone (346) 646-4218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
909537TXMDRegistered Nurse
1045878TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P CurrentSince Sep 1, 2023 Accepting new patients
Villagemd of Southeast Texas, PA CurrentSince Sep 1, 2023 Accepting new patients
Villagemd of Southeast Texas, PA PastSince Jan 29, 2023 Accepting new patients

Locations

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

15881 FM 529 Rd
Ste A
Houston, TX 77095
Phone (346) 646-4218

15881 FM 529 Rd
Houston, TX 77095
Phone (346) 646-4218

Interoperability endpoints

  • Direct secure messaging: liuber.forte.rodriguez.1@13711.direct.athenahealth.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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697328000000",
    "number": "1285282020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11818 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770371030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15881 FM 529 RD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952423",
            "telephone_number": "346-646-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTE RODRIGUEZ",
        "first_name": "LIUBER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-26",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1045878",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "909537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.