Active NPI
Alicia Ivana Baena, MSN, RN, FNP-C
- Family Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP139889
- Practice address
- 13656 Breton Ridge St # Ah
Houston, TX 77070-6081 - Phone
- (281) 429-8780
- Fax
- (281) 763-7930
- NPI assigned
- Apr 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP139889 | TX | Primary |
Addresses
Primary practice location
13656 Breton Ridge St # Ah
Houston, TX 77070-6081
Mailing address
850 W Rio Salado Pkwy Ste 201
Tempe, AZ 85281-3812
Phone (602) 926-0849
Other practice location 1
23945 Franz Rd Ste F
Katy, TX 77493-2047
Phone (281) 769-9995
Other practice location 2
14990 Northwest Fwy
Houston, TX 77040-4025
Phone (832) 200-1130
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Kidney Specialists Center PLLC | Current | Accepting new patients | |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients |
Locations
850 W Rio Salado Pkwy
Ste 201
Tempe, AZ 85281
21212 Northwest Fwy
Ste 205
Cypress, TX 77429
Phone (216) 702-4535
27700 NW Freeway
Ste 350
Cypress, TX 77433
Phone (281) 429-8780
10242 Greenhouse Rd
Ste 1101
Cypress, TX 77433
Phone (281) 429-8780
13656 Breton Ridge St
Ste A
Houston, TX 77070
Phone (281) 429-8780
13656 Breton Ridge St
Houston, TX 77070
Phone (281) 205-5100
10425 Huffmeister Rd
Ste 240
Houston, TX 77065
Phone (281) 429-8780
Interoperability endpoints
- alicia.baena.1@19285.direct.athenahealth.com
- https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4
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.
-
- Nephrology Physician
- Houston, TX
- NPI 1396217162
-
- Specialist
- Houston, TX
- NPI 1437242617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1821651985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 W RIO SALADO PKWY STE 201",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852813812",
"telephone_number": "602-926-0849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13656 BRETON RIDGE ST # AH",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770706081",
"telephone_number": "281-429-8780",
"fax_number": "281-763-7930"
}
],
"practiceLocations": [
{
"address_1": "23945 Franz Rd Ste F",
"address_purpose": "LOCATION",
"city": "Katy",
"state": "TX",
"postal_code": "774932047",
"country_code": "US",
"telephone_number": "281-769-9995",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14990 Northwest Fwy",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770404025",
"country_code": "US",
"telephone_number": "832-200-1130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAENA",
"first_name": "ALICIA",
"middle_name": "IVANA",
"credential": "MSN, RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-15",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP139889",
"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 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.