Individual provider Active NPI

Dora Nelly Aguilar, APRN, FNP-C

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1659672368
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
791350 Issued in TX
Practice address
28517 Spring Trails RDG Ste 100
Spring, TX 77386-4357
Phone
(281) 362-5436
NPI assigned
Nov 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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 791350 TX Primary

Addresses

Primary practice location

28517 Spring Trails RDG Ste 100
Spring, TX 77386-4357

Mailing address

28517 Spring Trails RDG Ste 100
Spring, TX 77386-4357
Phone (281) 362-5436

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
I20200813002362 TX Practitioner - Nurse Practitioner 1355767906 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
791350TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates of Family Medicine PA CurrentSince Aug 17, 2020 Accepting new patients
Ut Physicians PastSince Aug 17, 2020 Accepting new patients

Locations

503 Medical Center Blvd
Ste 100
Conroe, TX 77304
Phone (936) 788-1060

28517 Spring Trails Rdg
Ste 100
Spring, TX 77386
Phone (281) 362-5436

Interoperability endpoints

  • Direct secure messaging: daguilar151132@memorialhermann.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1659672368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28517 SPRING TRAILS RDG STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864357",
            "telephone_number": "281-362-5436",
            "fax_number": "281-651-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28517 SPRING TRAILS RDG STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864357",
            "telephone_number": "281-362-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR",
        "first_name": "DORA",
        "middle_name": "NELLY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "791350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.