Individual provider Active NPI

Ariana Ruby Cannizzo

  • Family Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1699642850
Registry record updated Nov 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1216521 Issued in TX
Practice address
24048 Kuykendahl Rd
Tomball, TX 77375-5326
Phone
(281) 255-3897
NPI assigned
Oct 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2025

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 1216521 TX Primary

Addresses

Primary practice location

24048 Kuykendahl Rd
Tomball, TX 77375-5326

Mailing address

24048 Kuykendahl Rd
Tomball, TX 77375-5326

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
I20251224000072 TX Practitioner - Nurse Practitioner 1658866934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Texas PLLCGroup PAC ID 7416039177, 253 clinicians

Practice addresses (Care Compare)

24048 Kuykendahl Rd
Tomball, TX 77375-5326
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1216521TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Dec 4, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Dec 4, 2025 Accepting new patients
Minuteclinic Primary Care Texas PLLC Family CurrentSince Dec 4, 2025 Accepting new patients
Primary Care PLLC Family Current Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

11661 Preston Rd
Ste 218
Dallas, TX 75230
Phone (214) 363-1571

1003 Richmond Ave
Houston, TX 77006
Phone (713) 807-8491

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

5002 W Main St
League City, TX 77573
Phone (281) 557-4374

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

1301 N Saginaw Blvd
Saginaw, TX 76179
Phone (817) 676-4362

5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311

24048 Kuykendahl Rd
Tomball, TX 77375
Phone (281) 255-3897

Organizations & group practices 4

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": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764374400000",
    "number": "1699642850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24048 KUYKENDAHL RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24048 KUYKENDAHL RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773755326",
            "telephone_number": "281-255-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNIZZO",
        "first_name": "ARIANA",
        "middle_name": "RUBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-11-29",
        "certification_date": "2025-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1216521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.