Individual provider Active NPI

Alma Rosa Banegas, RN

  • Diabetes Educator Registered Nurse
  • Houston, TX
National Provider Identifier
1871638593
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
544188 Issued in TX
Practice address
8000 N Stadium Dr
6TH Floor
Houston, TX 77054
Phone
(832) 248-9385
Fax
(713) 384-7752
NPI assigned
Feb 20, 2007
Last updated
Mar 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 544188 TX
Diabetes Educator Registered Nurse 163WD0400X 544188 TX Primary

Addresses

Primary practice location

8000 N Stadium Dr
6TH Floor
Houston, TX 77054

Mailing address

PO Box 88361
City of Houston Health & Human Services
Houston, TX 77288-8861
Phone (713) 794-9104

Other identifiers 1

IdentifierTypeStateIssuer
179512201MedicaidTX

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
544188TXMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1871638593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88361",
            "address_2": "CITY OF HOUSTON HEALTH & HUMAN SERVICES",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772888861",
            "telephone_number": "713-794-9104",
            "fax_number": "713-798-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 N STADIUM DR",
            "address_2": "6TH FLOOR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "832-248-9385",
            "fax_number": "713-384-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANEGAS",
        "first_name": "ALMA",
        "middle_name": "ROSA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "544188",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "TX",
            "license": "544188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179512201",
            "state": "TX"
        }
    ],
    "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 Mar 29, 2012; 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.