Individual provider Active NPI

Maria Annabelle T. De Los Santos, F.N.P.

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1427053503
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
539582 Issued in TX
Practice address
12141 Richmond Ave
Houston, TX 77082-2408
Phone
(281) 588-8110
NPI assigned
Jun 16, 2005
Last updated
Mar 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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 539582 TX Primary

Addresses

Primary practice location

12141 Richmond Ave
Houston, TX 77082-2408

Mailing address

12141 Richmond Ave
Houston, TX 77082-2408
Phone (281) 588-8110

Other identifiers 1

IdentifierTypeStateIssuer
1623894-01MedicaidTX

Other names 1

  • Annabelle Agapito Former name

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
I20040109000249 TX Practitioner - Nurse Practitioner 6507766300 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
539582TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC CurrentSince May 1, 2017 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Oct 11, 2023 Accepting new patients
Physicians Healthcare Associates, P.a. Past Accepting new patients
El Paso Primary Healthcare Physician Past Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

Organizations & group practices 5

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1427053503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12141 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822408",
            "telephone_number": "281-588-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822408",
            "telephone_number": "281-588-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LOS SANTOS",
        "first_name": "MARIA ANNABELLE",
        "middle_name": "T.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "539582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1623894-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNABELLE",
            "last_name": "AGAPITO",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.