Individual provider Active NPI

Zaibunnisa Farid Momin, APRN, NP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1548687940
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
758241 Issued in TX
Practice address
2660 Fountain View Dr
Houston, TX 77057-7606
Phone
(713) 343-2679
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

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 758241 TX Primary

Addresses

Primary practice location

2660 Fountain View Dr
Houston, TX 77057-7606

Mailing address

5531 Santa Chase LN
Sugar Land, TX 77479-5400

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
I20140612002106 TX Practitioner - Nurse Practitioner 2163646142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical School at Houston, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Sugar Land Family Practice, PAGroup PAC ID 2264443514, 2 clinicians

Practice addresses (Care Compare)

50 Sugar Creek Ctr Blvd
Suite 150
Sugar Land, TX 77478-3691
Phone (281) 491-0909

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sugar Land Family Practice, PA CurrentSince Jun 13, 2023 Accepting new patients

Locations

50 Sugar Creek Center Blvd
Ste 150
Sugar Land, TX 77478
Phone (281) 491-0909

Interoperability endpoints

  • Direct secure messaging: zmomin147838@memorialhermann.direct-ci.com

Organizations & group practices 1

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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1548687940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 SANTA CHASE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774795400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 FOUNTAIN VIEW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577606",
            "telephone_number": "713-343-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMIN",
        "first_name": "ZAIBUNNISA",
        "middle_name": "FARID",
        "name_prefix": "Mrs.",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "758241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.