Individual provider Active NPI

Ana Rosa Carrillo, FNP-BC

  • Family Nurse Practitioner
  • Cisco, TX
National Provider Identifier
1407719065
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1216595 Issued in TX
Practice address
400 Avenue H
Cisco, TX 76437-2642
Phone
(254) 433-1900
NPI assigned
Dec 9, 2025
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1216595 TX Primary

Addresses

Primary practice location

400 Avenue H
Cisco, TX 76437-2642

Mailing address

400 Avenue H
Cisco, TX 76437-2642
Phone (254) 433-1900

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
I20260220002280 TX Practitioner - Nurse Practitioner 2961983689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Ave H
Cisco, TX 76437

909 Ridgebrook Rd
Suite 300
Sparks, MD 21152-9474

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1216595TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Associates of de LLC CurrentSince Feb 23, 2026 Accepting new patients

Locations

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

4501 Dudmar Dr
Austin, TX 78735
Phone (512) 326-1141

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

4195 Milam St
Beaumont, TX 77707
Phone (409) 842-4450

12830 Hillcrest Rd
Ste 111
Dallas, TX 75230
Phone (972) 364-9023

2416 NW 18th St
Ft Worth, TX 76106
Phone (817) 626-5454

10851 Crescent Moon Dr
Houston, TX 77064
Phone (281) 890-0171

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

8223 Broadway
San Antonio, TX 78209
Phone (210) 828-0606

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1407719065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVENUE H",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "764372642",
            "telephone_number": "254-433-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVENUE H",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "764372642",
            "telephone_number": "254-433-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "ANA",
        "middle_name": "ROSA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1216595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cisco, TX

Sources for this page

Verify at the official NPI Registry.