Individual provider Active NPI

Tammy Rane' Delagarza, FNP-C

  • Pediatric Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1356784276
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP123301 Issued in TX
Practice address
17520 W Grand Pkwy S Ste 120
Sugar Land, TX 77479-4759
Phone
(281) 298-1144
Fax
(281) 298-1133
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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 728524 TX
Pediatric Nurse Practitioner 363LP0200X AP123301 TX Primary

Addresses

Primary practice location

17520 W Grand Pkwy S Ste 120
Sugar Land, TX 77479-4759

Mailing address

14960 Park Row Dr
Houston, TX 77084-5165
Phone (281) 298-1144

Other identifiers 1

IdentifierTypeStateIssuer
3218844-03MedicaidTX

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
I20130827000201 TX Practitioner - Nurse Practitioner 5496998296 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
728524TXMDFamily Nurse Practitioner
AP123301TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jul 9, 2013 Accepting new patients
Ut Physicians CurrentSince Jul 9, 2013 Accepting new patients
Shaun S. Varghese, M.D., PLLC Past Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

23920 Katy Fwy
Ste 150
Katy, TX 77494
Phone (281) 298-1144

920 Medical Plaza Dr
Ste 120
Shenandoah, TX 77380
Phone (281) 298-1144

17520 W Grand Pkwy S
Ste 120
Sugar Land, TX 77479
Phone (281) 298-1144

Interoperability endpoints

  • Direct secure messaging: tammy.delagarza@think.eclinicaldirectplus.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": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1356784276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14960 PARK ROW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845165",
            "telephone_number": "281-298-1144",
            "fax_number": "281-297-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 W GRAND PKWY S STE 120",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794759",
            "telephone_number": "281-298-1144",
            "fax_number": "281-298-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAGARZA",
        "first_name": "TAMMY",
        "middle_name": "RANE'",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "728524",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP123301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3218844-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.