Adela Patricia Cifuentes, FNP-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1059147 Issued in TX

Practice address

855 Davis Blvd
Southlake, TX 76092-8244

Phone

(817) 912-1771

Fax

(940) 841-6756

NPI assigned

May 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Patricia Cifuentes Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Modern Medical House Calls PLLC

  • General Practice Physician
  • Southlake, TX
  • NPI 1043635931
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1649760604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 DAVIS BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928244",
            "telephone_number": "817-912-1771",
            "fax_number": "940-841-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 DAVIS BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928244",
            "telephone_number": "817-912-1771",
            "fax_number": "940-841-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIFUENTES",
        "first_name": "ADELA",
        "middle_name": "PATRICIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1059147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "CIFUENTES",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Christensen, LPC, LSOTP
• Juliana Louise Christenson, LAC
• Christopher a Hughes MD PLLC
• Chung'S Family Healthcare Association
• Marcia A Church, M.A., CCC-SLP
• Traci M Cihon, PHD, BCBA-D
• Cim Medical,PLLC
• City of Southlake Tex
• Anna L Clark
• Cameron Whitaker Clark, P.A.

• Family Medicine Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.