Individual provider Active NPI

Stefani Ricondo, MD

  • Pediatric Adolescent Medicine Physician
  • Houston, TX
National Provider Identifier
1699018705
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
S7541 Issued in TX
Practice address
6701 Fannin St Ste 1710
Houston, TX 77030-2616
Phone
(832) 822-3666
Fax
(832) 825-3689
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X S7541 TX Primary

Addresses

Primary practice location

6701 Fannin St Ste 1710
Houston, TX 77030-2616

Mailing address

6701 Fannin St Ste 1710
Houston, TX 77030-2616
Phone (832) 822-3666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S7541TXMDPediatric Adolescent Medicine Physician

Interoperability endpoints

  • Direct secure messaging: stefani.ricondo.1@15630.direct.athenahealth.com
  • Direct secure messaging: sricondo258027@prddirect.texaschildrens.org

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1699018705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 FANNIN ST STE 1710",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302616",
            "telephone_number": "832-822-3666",
            "fax_number": "832-825-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 FANNIN ST STE 1710",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302616",
            "telephone_number": "832-822-3666",
            "fax_number": "832-825-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICONDO",
        "first_name": "STEFANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "S7541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.