Individual provider Active NPI

Ma Fe Vicenta Berongoy, RN

  • Registered Nurse
  • Houston, TX
National Provider Identifier
1508344516
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
749176 Issued in TX
Practice address
16439 Rodeo River Rd
Houston, TX 77049-1978
Phone
(713) 542-5002
NPI assigned
Aug 1, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 749176 TX Primary

Addresses

Primary practice location

16439 Rodeo River Rd
Houston, TX 77049-1978

Mailing address

25126 Clover Ranch Dr
Katy, TX 77494-3016
Phone (702) 321-7427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
749176TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1508344516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25126 CLOVER RANCH DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943016",
            "telephone_number": "702-321-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16439 RODEO RIVER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770491978",
            "telephone_number": "713-542-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERONGOY",
        "first_name": "MA FE VICENTA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "749176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.