Organization Active NPI

Ddfnp PLLC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1386114312
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DDFNP PLLC
Practice address
2594 FM 1960 Rd
Houston, TX 77073-2506
Phone
(832) 957-3908
NPI assigned
Dec 3, 2018
Last updated
May 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Authorized official

Name
Damari Duarte RodriguezNPI 1194236679
Title
Owner
Phone
(832) 351-3480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

2594 FM 1960 Rd
Houston, TX 77073-2506

Mailing address

6804 Highway 6 S Ste F
Houston, TX 77083-3397
Phone (832) 351-3480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181219000951 TX Part B Supplier - Clinic/Group Practice 0941545909 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1386114312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6804 HIGHWAY 6 S STE F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770833397",
            "telephone_number": "832-351-3480",
            "fax_number": "832-351-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 FM 1960 RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770732506",
            "telephone_number": "832-957-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDFNP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "DUARTE RODRIGUEZ",
        "authorized_official_first_name": "DAMARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-351-3480"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.