Individual provider Active NPI

Nelly Fotzeu

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1578063624
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1116344 Issued in TX
Practice address
12922 Cutten Rd # D
Houston, TX 77066-1012
Phone
(832) 298-4292
NPI assigned
Feb 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 790756 TX
Family Nurse Practitioner 363LF0000X 1116344 TX Primary

Addresses

Primary practice location

12922 Cutten Rd # D
Houston, TX 77066-1012

Mailing address

12922 Cutten Rd # D
Houston, TX 77066-1012
Phone (832) 298-4292

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

State licenses

LicenseStateTypeSpecialty
790756TXMDRegistered Nurse
1116344TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Ping Chiang Rheumatology Consultant, Inc. Single Specialty PastSince Dec 1, 2017 Accepting new patients

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": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1578063624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12922 CUTTEN RD # D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770661012",
            "telephone_number": "832-298-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12922 CUTTEN RD # D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770661012",
            "telephone_number": "832-298-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOTZEU",
        "first_name": "NELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "790756",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1116344",
            "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 Sep 22, 2023; 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.