Individual provider Active NPI

Alyssa Cory Hildebrand, NP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1811503345
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-80523-031 Issued in KS
Practice address
2450 Fondren Rd Ste 111
Houston, TX 77063-2314
Phone
(713) 201-9308
NPI assigned
Sep 21, 2020
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1011827 TX
Family Nurse Practitioner 363LF0000X 53-80523-031 KS Primary

Addresses

Primary practice location

2450 Fondren Rd Ste 111
Houston, TX 77063-2314

Mailing address

1300 Overbook Rd
Overland Park, KS 66224
Phone (913) 348-4330

Other practice location 1

1300 Overbook Rd
Overland Park, KS 66224
Phone (913) 348-4330

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53-80523-031KSMDFamily Nurse Practitioner
1011827TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rahul D Puri MD PA CurrentSince Sep 27, 2020 Accepting new patients

Locations

2450 Fondren Rd
Ste 111
Houston, TX 77063
Phone (713) 201-9308

Organizations & group practices 1

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1811503345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 OVERBOOK RD",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66224",
            "telephone_number": "913-348-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD STE 111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632314",
            "telephone_number": "713-201-9308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Overbook Rd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "66224",
            "country_code": "US",
            "telephone_number": "913-348-4330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILDEBRAND",
        "first_name": "ALYSSA",
        "middle_name": "CORY",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1011827",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-80523-031",
            "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 Nov 29, 2021; 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.