Individual provider Active NPI

Ida Centineo, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1609410653
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1030675 Issued in TX
Practice address
440 Louisiana St Ste 900
Houston, TX 77002-1062
Phone
(346) 600-1925
NPI assigned
Nov 2, 2019
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210914000975 TX Practitioner - Nurse Practitioner 8123424397 Reassigns benefits to 2 organizations
I20240530001016 NY Practitioner - Nurse Practitioner 8123424397 Reassigns benefits to 1 organization
I20240607003427 NJ Practitioner - Nurse Practitioner 8123424397

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
Global Wound Care Medical GroupGroup PAC ID 9335504539, 19 clinicians

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

OrganizationSpecialtyStatusNew patients
Global Wound Care Medical Group CurrentSince Mar 15, 2023 Accepting new patients
Total Care 2 U, LLC CurrentSince Jan 27, 2022 Accepting new patients
Altrix Group LLC Family CurrentSince Dec 2, 2024 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

  • FHIR API: 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.

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

Sources for this page

Verify at the official NPI Registry.