Brenda Alicia Cardenas
Individual provider Active NPI Family Nurse Practitioner · Alvin, TX
NPI 1497416135 · NPPES record last updated Jun 7, 2022
Key facts
- NPI
- 1497416135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F11210148 (TX)
- Practice address
- 1111 W Adoue St
Alvin, TX 77511-2718 - Phone
- (281) 824-1480
- NPI assigned
- Jan 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220202003024 | TX | Practitioner - Nurse Practitioner | 7012300619 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F11210148 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen F Austin Community Health Center,Inc | Multi-Specialty | Current |
Accepting new patients |
| Angel Perez M D P a | Multi-Specialty | Current |
Accepting new patients |
| Stephen F. Austin Community Health Center, Inc. | Multi-Specialty | Current |
Accepting new patients |
Locations
1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594
15055 East Fwy
Ste B60
Channelview, TX 77530
Phone (281) 452-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | F11210148 | TX | Yes |
Addresses
Primary practice location
1111 W Adoue St
Alvin, TX 77511-2718
Mailing address
15055 East Fwy
Channelview, TX 77530-4144
Phone (713) 517-5255
Other practice location 1
3901 Spencer Hwy
Pasadena, TX 77504-1205
Phone (713) 517-5255
Other providers in Alvin, TX
- Wanda Faye Butler
- Jemyra Calais
- Emily Margaret Calhoun
- Lori T. Candrian
- Cao Integrated PLLC
- Jessica Rubi Castaneda
- Pablo Reyna Castro
- Joseph Robert Cegielski
- Chad E Moffitt Inc
- Ben Chamberlain Jr.
All providers in Alvin, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.