Individual provider Active NPI

Hazel Aguda, FNP-BC

  • Gastroenterology Registered Nurse
  • Houston, TX
National Provider Identifier
1871136192
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology Registered NurseTaxonomy code 163WG0100X
License
AP142179 Issued in TX
Practice address
1446 Campbell Rd Ste 200
Houston, TX 77055-4604
Phone
(713) 467-2700
Fax
(713) 467-3308
NPI assigned
Oct 18, 2019
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Registered Nurse 163WG0100X AP142179 TX Primary

Addresses

Primary practice location

1446 Campbell Rd Ste 200
Houston, TX 77055-4604

Mailing address

1446 Campbell Rd Ste 200
Houston, TX 77055-4604
Phone (713) 467-2700

Other practice location 1

21338 Provincial Blvd
Katy, TX 77450-7580
Phone (713) 467-2700

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
I20200330000125 TX Practitioner - Nurse Practitioner 0648609594 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142179TXMDGastroenterology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
David T. Nemoto M.D, P.a. CurrentSince Dec 21, 2019 Accepting new patients
Momentum Anesthesia Group PLLC Past Accepting new patients

Locations

1446 Campbell Rd
Ste 200
Houston, TX 77055
Phone (713) 467-2700

21338 Provincial Blvd
Katy, TX 77450
Phone (281) 829-1700

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": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1871136192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1446 CAMPBELL RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554604",
            "telephone_number": "713-467-2700",
            "fax_number": "713-467-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 CAMPBELL RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554604",
            "telephone_number": "713-467-2700",
            "fax_number": "713-467-3308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21338 Provincial Blvd",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774507580",
            "country_code": "US",
            "telephone_number": "713-467-2700",
            "fax_number": "713-467-3308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUDA",
        "first_name": "HAZEL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "TX",
            "license": "AP142179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.