Individual provider Active NPI

Lazaro Roche, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1639542863
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129497 Issued in TX
Practice address
566 FM 1960 Rd W Ste B
Houston, TX 77090-3044
Phone
(832) 867-2842
NPI assigned
Nov 10, 2015
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 AP129497 TX Primary

Addresses

Primary practice location

566 FM 1960 Rd W Ste B
Houston, TX 77090-3044

Mailing address

566 FM 1960 Rd W Ste B
Houston, TX 77090-3044

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
I20160201002043 TX Practitioner - Nurse Practitioner 8022312776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

566 FM 1960 Rd W
Suite B
Houston, TX 77090-3044
Phone (281) 397-1799

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Family Clinic CurrentSince Oct 13, 2024 Accepting new patients
Rapid Clinic Urgent Care LLC CurrentSince Feb 6, 2023 Accepting new patients

Locations

8777 Velocity Dr
Machesney Pk, IL 61115

14002 Bammel North Houston Rd
Ste C
Houston, TX 77014
Phone (281) 880-9888

566 FM 1960 Rd W
Ste B
Houston, TX 77090
Phone (281) 397-1799

Interoperability endpoints

  • Direct secure messaging: lazaro.roche@4163.securemail.prognocis.com

Organizations & group practices 2

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": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1639542863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 FM 1960 RD W STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 FM 1960 RD W STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903044",
            "telephone_number": "832-867-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "LAZARO",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-10",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.