Individual provider Active NPI

Sandra Maria Perez Hernandez

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1326869280
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1019768 Issued in TX
Practice address
1919 North Loop W Ste 400
Houston, TX 77008-1364
Phone
(713) 742-0615
Fax
(713) 695-0323
NPI assigned
Oct 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Family Nurse Practitioner 363LF0000X 1019768 TX Primary
Registered Nurse 163W00000X 1019768 TX

Addresses

Primary practice location

1919 North Loop W Ste 400
Houston, TX 77008-1364

Mailing address

1919 North Loop W Ste 400
Houston, TX 77008-1364
Phone (713) 742-0615

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
I20260312003430 TX Practitioner - Nurse Practitioner 3173006681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Southern College of Medicine and Surgery, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4534 Live Oak St
Bellaire, TX 77401-3706

7465 E Osborn Rd
Scottsdale, AZ 85251-6590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1019768TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ae Health PLLC CurrentSince Feb 3, 2026 Accepting new patients
Gaspy Home Healthcare, Inc. PastSince Oct 27, 2024 Accepting new patients

Organizations & group practices 2

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": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1326869280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081364",
            "telephone_number": "713-742-0615",
            "fax_number": "713-695-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081364",
            "telephone_number": "713-742-0615",
            "fax_number": "713-695-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ HERNANDEZ",
        "first_name": "SANDRA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1019768",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1019768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.