Active NPI
Ida Centineo, FNP-C
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1030675
- Practice address
- 440 Louisiana St Ste 900
Houston, TX 77002-1062 - Phone
- (346) 600-1925
- NPI assigned
- Nov 2, 2019
- Last updated
- Apr 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 352903 | NY | |
| Family Nurse Practitioner | 363LF0000X | 1030675 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | 26NJ01038600 | NJ |
Addresses
Primary practice location
440 Louisiana St Ste 900
Houston, TX 77002-1062
Mailing address
440 Louisiana St Ste 900
Houston, TX 77002-1062
Phone (346) 600-1925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 White Spruce Blvd
Suite 134
Rochester, NY 14623-1605
Phone (585) 513-5479
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Wound Care Medical Group | Current | Accepting new patients | |
| Total Care 2 U, LLC | Current | Accepting new patients | |
| Altrix Group LLC | Family | Current | Accepting new patients |
Locations
5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861
1200 US Highway 22
Ste 2000
Bridgewater, NJ 08807
Phone (551) 239-8647
999 Riverview Dr
Ste 201
Totowa, NJ 07512
Phone (551) 276-8291
200 White Spruce Blvd
Ste 134
Rochester, NY 14623
Phone (585) 427-0270
2400 Augusta Dr
Ste 366
Houston, TX 77057
Phone (346) 362-5344
2400 Augusta Dr
Ste 369
Houston, TX 77057
Phone (323) 545-4007
440 Louisiana St
Ste 900
Houston, TX 77002
Phone (914) 432-2166
1000 Legacy Ranch Rd
Waxahachie, TX 75165
Phone (877) 868-2527
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHAHDD/Endpoint/GHAHDD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1932923349
-
- Internal Medicine Physician
- Waxahachie, TX
- NPI 1508320755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1609410653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 LOUISIANA ST STE 900",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770021062",
"telephone_number": "346-600-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 LOUISIANA ST STE 900",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770021062",
"telephone_number": "346-600-1925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTINEO",
"first_name": "IDA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-02",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "352903",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1030675",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ01038600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Centerwell Senior Primary Care (TX) PA (CenterWell Senior Primary Care-Emancipation)
- Centerwell Senior Primary Care (TX) PA (CenterWell Senior Primary Care -Downtown East)
- Centerwell Senior Primary Care (TX) PA (CenterWell Senior Primary Care- Hiram Clarke)
- Centerwell Senior Primary Care (TX) PA (CenterWell Senior Primary Care -Gulfgate)
- Centerwell Senior Primary Care (TX) PA (CenterWell Senior Primary Care-Westside)
- Frank Centonze, MA, LPC-S
- Centra Clinic- II Inc
- Centra Clinic, Inc
- Centra One Dental
- Centra One Dental PA (Centra Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.