Individual provider Active NPI

Nirlian Portieles, RN

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1649759580
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1130974 Issued in TX
Practice address
3803 Irvington Blvd Ste B
Houston, TX 77009-4857
Phone
(713) 699-3044
NPI assigned
Aug 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 912841 TX
Family Nurse Practitioner 363LF0000X 1130974 TX Primary

Addresses

Primary practice location

3803 Irvington Blvd Ste B
Houston, TX 77009-4857

Mailing address

3803 Irvington Blvd Ste B
Houston, TX 77009-4857
Phone (713) 699-3044

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
I20231210000022 TX Practitioner - Nurse Practitioner 6709235237 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
912841TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Mi Salud PLLC CurrentSince Oct 30, 2023 Accepting new patients

Locations

3803 Irvington Blvd
Ste B
Houston, TX 77009
Phone (713) 699-3044

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": "1533945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1649759580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 IRVINGTON BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770094857",
            "telephone_number": "713-699-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 IRVINGTON BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770094857",
            "telephone_number": "713-699-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTIELES",
        "first_name": "NIRLIAN",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-11",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "912841",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1130974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.