Individual provider Active NPI

Tania Abraham, APRN, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1801647557
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1138378 Issued in TX
Practice address
1250 Wood Branch Park Dr Ste 650
Houston, TX 77079-0003
Phone
(713) 785-7483
NPI assigned
Apr 1, 2024
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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 1138378 TX Primary

Addresses

Primary practice location

1250 Wood Branch Park Dr Ste 650
Houston, TX 77079-0003

Mailing address

1250 Wood Branch Park Dr Ste 650
Houston, TX 77079-0003
Phone (713) 785-7483

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
I20240705001283 TX Practitioner - Nurse Practitioner 1052855731 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1138378TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moazam PA CurrentSince Jun 1, 2024 Accepting new patients
Moazam PA CurrentSince Jun 1, 2024 Accepting new patients

Locations

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

14470 Horizon Blvd
Ste J
Horizon City, TX 79928
Phone (915) 777-9075

7106 Spencer Hwy
Pasadena, TX 77505
Phone (281) 542-9400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1801647557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WOOD BRANCH PARK DR STE 650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770790003",
            "telephone_number": "713-785-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WOOD BRANCH PARK DR STE 650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770790003",
            "telephone_number": "713-785-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "TANIA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1138378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.