Individual provider Active NPI

Lilia Coral Requena, NP

  • Family Nurse Practitioner
  • Webster, TX
National Provider Identifier
1427795467
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1077259 Issued in TX
Practice address
17448 Highway 3 FL 2
Webster, TX 77598-4197
Phone
(832) 505-1748
NPI assigned
May 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1077259 TX
Family Nurse Practitioner 363LF0000X 1077259 TX Primary

Addresses

Primary practice location

17448 Highway 3 FL 2
Webster, TX 77598-4197

Mailing address

5402 Airline Dr
Houston, TX 77076-4902
Phone (713) 239-1572

Other practice location 1

5402 Airline Dr
Houston, TX 77076-4902
Phone (713) 239-1572

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
I20240118003699 TX Practitioner - Nurse Practitioner 8527410182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Practice addresses (Care Compare)

17448 Hwy 3
FL 2
Webster, TX 77598-4197
Phone (832) 505-1748

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1077259TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical Group Inc CurrentSince Dec 10, 2023 Accepting new patients
Topcare Medical PA CurrentSince Apr 2, 2012 Accepting new patients
Utmb Faculty Group Practice CurrentSince Jul 1, 2025 Accepting new patients

Locations

12377 Merit Dr
Ste 300
Dallas, TX 75251

229 NE 28th St
Ft Worth, TX 76164
Phone (817) 566-0478

410 E Pioneer Pkwy
Ste 300
Grand Prairie, TX 75051
Phone (469) 733-1890

10058A Long Point Rd
Houston, TX 77055
Phone (832) 380-3980

5402 Airline Dr
Houston, TX 77076
Phone (713) 239-1572

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

1120 E Parker Rd
Ste 195
Plano, TX 75074
Phone (469) 298-1216

17448 Highway 3
Fl 2
Webster, TX 77598
Phone (832) 505-1748

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1427795467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764902",
            "telephone_number": "713-239-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17448 HIGHWAY 3 FL 2",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984197",
            "telephone_number": "832-505-1748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5402 Airline Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770764902",
            "country_code": "US",
            "telephone_number": "713-239-1572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REQUENA",
        "first_name": "LILIA",
        "middle_name": "CORAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1077259",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1077259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

Verify at the official NPI Registry.