Individual provider Active NPI

Fayshalee Alrica-McKenzie Ortiz, FNP

  • Family Nurse Practitioner
  • Humble, TX
National Provider Identifier
1821483520
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127848 Issued in TX
Practice address
6725 Atascocita Rd Ste a
Humble, TX 77346
Phone
(281) 812-3990
Fax
(281) 812-3947
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP127848 TX
Family Nurse Practitioner 363LF0000X AP127848 TX Primary

Addresses

Primary practice location

6725 Atascocita Rd Ste a
Humble, TX 77346

Mailing address

6725 Atascocita Rd Ste a
Humble, TX 77346-2292
Phone (281) 812-3990

Other practice location 1

6725 Atascocita Rd Ste A
Humble, TX 77346
Phone (281) 812-3990

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
I20160329000085 TX Practitioner - Nurse Practitioner 1658688767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6725 Atascocita Rd
Suite a
Humble, TX 77346-2292
Phone (281) 812-3990

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pebble Hills Family Clinic PLLC Family Medicine Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1821483520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 ATASCOCITA RD STE A",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462292",
            "telephone_number": "281-812-3990",
            "fax_number": "281-812-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 ATASCOCITA RD STE A",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77346",
            "telephone_number": "281-812-3990",
            "fax_number": "281-812-3947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6725 Atascocita Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "77346",
            "country_code": "US",
            "telephone_number": "281-812-3990",
            "fax_number": "281-812-3947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "FAYSHALEE",
        "middle_name": "ALRICA-MCKENZIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP127848",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.