Individual provider Active NPI

Zinny Enzo

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1407416845
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1076382 Issued in TX
Practice address
25002 Tancy Ranch CT
Katy, TX 77494-5254
Phone
(832) 727-8105
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 904315 TX
Family Nurse Practitioner 363LF0000X 1076382 TX Primary

Addresses

Primary practice location

25002 Tancy Ranch CT
Katy, TX 77494-5254

Mailing address

25002 Tancy Ranch CT
Katy, TX 77494-5254

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
I20230719002087 TX Practitioner - Nurse Practitioner 6103286364 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904315TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sugar Land Geriatrics & Medical Associates CurrentSince Jun 25, 2023 Accepting new patients
Aman Ali Jafar, MD., PA CurrentSince Jun 25, 2023 Accepting new patients
Medcomplete LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

26717 Westheimer Pkwy
Unit 103
Katy, TX 77494
Phone (832) 838-4031

3531 Town Center Blvd S
Ste 101
Sugar Land, TX 77479
Phone (281) 491-3225

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1407416845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25002 TANCY RANCH CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25002 TANCY RANCH CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945254",
            "telephone_number": "832-727-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENZO",
        "first_name": "ZINNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "904315",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1076382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.