Individual provider Active NPI

Jerlys Suarez Lopez, FNP

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1386245959
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1018120 Issued in TX
Practice address
3810 N. Fry , Ste. 118
Katy, TX 77084
Phone
(832) 321-4233
Fax
(832) 321-4310
NPI assigned
Nov 2, 2020
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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 1018120 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X PTL17863 CA

Addresses

Primary practice location

3810 N. Fry , Ste. 118
Katy, TX 77084

Mailing address

3026 Coachmaker TRL
Rosenberg, TX 77471-1530
Phone (832) 996-6911

Other practice location 1

999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 985-2811

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
I20210607000264 TX Practitioner - Nurse Practitioner 9931513124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11501 SW 26TH St
Apt 107
Miramar, FL 33025-7532

3026 Coachmaker TRL
Rosenberg, TX 77471-1530

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1018120TXMDFamily Nurse Practitioner
PTL17863CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Bella & SLZ LLC Single Specialty CurrentSince Feb 7, 2021 Accepting new patients
Molina Medical Group PLLC Single Specialty CurrentSince Jan 4, 2023 Accepting new patients
Molinas Medical Group Current Accepting new patients

Locations

2128 Spears Rd
Ste 600
Houston, TX 77067
Phone (281) 397-1410

7071 Lawndale St
Ste A
Houston, TX 77023
Phone (832) 321-4233

3810 Fry Rd
Ste 118
Katy, TX 77449
Phone (832) 321-4233

2201 1st St
Ste 6
Rosenberg, TX 77471
Phone (281) 817-6667

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1386245959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 COACHMAKER TRL",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774711530",
            "telephone_number": "832-996-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 N. FRY , STE. 118",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77084",
            "telephone_number": "832-321-4233",
            "fax_number": "832-321-4310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 San Bernardino Rd",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917864920",
            "country_code": "US",
            "telephone_number": "909-985-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUAREZ LOPEZ",
        "first_name": "JERLYS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1018120",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "PTL17863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.