Individual provider Active NPI

Glenda Fabiola Medina, MSN-ACNP

  • Acute Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1790069748
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP117917 Issued in TX
Practice address
6400 Fannin St Ste 2150
Houston, TX 77030-1524
Phone
(713) 486-8100
NPI assigned
Oct 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X 702304 TX
Acute Care Nurse Practitioner 363LA2100X AP117917 TX Primary

Addresses

Primary practice location

6400 Fannin St Ste 2150
Houston, TX 77030-1524

Mailing address

6400 Fannin St Ste 2150
Houston, TX 77030-1524
Phone (713) 486-8100

Other identifiers 1

IdentifierTypeStateIssuer
326773403MedicaidTX

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
I20120906000848 TX Practitioner - Nurse Practitioner 0446408959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

4401 Garth Rd
Baytown, TX 77521-2122
Phone (281) 420-4350

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince May 1, 2017 Accepting new patients
TMH Physician Associates PLLC CurrentSince May 1, 2017 Accepting new patients
Ut Physicians CurrentSince Apr 28, 2025 Accepting new patients

Locations

6560 Fannin St
Ste 1878
Houston, TX 77030
Phone (713) 441-5189

11920 Astoria Blvd
Ste 292
Houston, TX 77089
Phone (713) 486-7970

6400 Fannin St
Ste 2150
Houston, TX 77030
Phone (713) 486-8100

6410 Fannin St
Ste LL135
Houston, TX 77030
Phone (832) 325-6543

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: glenda.medina@hca9.eclinicaldirectplus.com

Organizations & group practices 3

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": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1790069748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 2150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301524",
            "telephone_number": "713-486-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 2150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301524",
            "telephone_number": "713-486-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "GLENDA",
        "middle_name": "FABIOLA",
        "name_prefix": "Mrs.",
        "credential": "MSN-ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "TX",
            "license": "702304",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP117917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326773403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.