Individual provider Active NPI

Liset Velazquez Muniz, NP

  • Family Nurse Practitioner
  • Richardson, TX
National Provider Identifier
1508553397
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1113751 Issued in TX
Practice address
1143 Rockingham Dr Ste 107
Richardson, TX 75080-4327
Phone
(214) 987-2100
Fax
(214) 987-2104
NPI assigned
Apr 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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 1113751 TX Primary

Addresses

Primary practice location

1143 Rockingham Dr Ste 107
Richardson, TX 75080-4327

Mailing address

1143 Rockingham Dr Ste 107
Richardson, TX 75080-4327
Phone (214) 987-2100

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
I20231004003566 TX Practitioner - Nurse Practitioner 3476908807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23741 Hwy 59
Suite A02
Porter, TX 77365-5389
Phone (281) 747-7296

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1113751TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Practice House Calls LLC Family CurrentSince Aug 15, 2023 Accepting new patients
Amd Freedom Enterprises, Inc CurrentSince Apr 10, 2022 Accepting new patients
Dal Post Acute Partners, PLLC Family Past Accepting new patients
Advance Pharmacy LLC PastSince Aug 15, 2023 Accepting new patients

Locations

114 Truly Plz
Cleveland, TX 77327
Phone (832) 480-5313

2646 S Loop W
Ste 330
Houston, TX 77054
Phone (281) 888-4407

23741 Highway 59
Ste A02
Porter, TX 77365
Phone (281) 747-7296

23741 Highway 59
Ste B4
Porter, TX 77365

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1508553397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 ROCKINGHAM DR STE 107",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804327",
            "telephone_number": "214-987-2100",
            "fax_number": "214-987-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 ROCKINGHAM DR STE 107",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804327",
            "telephone_number": "214-987-2100",
            "fax_number": "214-987-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ MUNIZ",
        "first_name": "LISET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1113751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.