Individual provider Active NPI

Alicia Ivana Baena, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1821651985
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139889 Issued in TX
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

Updated by the provider on Nov 23, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191202001474 TX Practitioner - Nurse Practitioner 4486087681 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Kidney Specialists Center PLLC CurrentSince Jan 24, 2023 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

  • Direct secure messaging: alicia.baena.1@19285.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.