Individual provider Active NPI

Carmen Sosa, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1881152890
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140942 Issued in TX
Practice address
17510 W Grand Pkwy S Ste 380
Sugar Land, TX 77479-2649
Phone
(346) 616-0038
Fax
(346) 843-2618
NPI assigned
Mar 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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 AP140942 TX Primary

Addresses

Primary practice location

17510 W Grand Pkwy S Ste 380
Sugar Land, TX 77479-2649

Mailing address

17510 W Grand Pkwy S Ste 380
Sugar Land, TX 77479-2649
Phone (346) 616-0038

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
I20190606001584 TX Practitioner - Nurse Practitioner 6800129826 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140942TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health and Life Center, PLLC CurrentSince Mar 7, 2019 Accepting new patients

Locations

17510 W Grand Pkwy S
Ste 380
Sugar Land, TX 77479
Phone (281) 238-0200

Interoperability endpoints

  • Direct secure messaging: carmen.sosa@chalc.eclinicaldirectplus.com

Organizations & group practices 1

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": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1881152890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S STE 380",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792649",
            "telephone_number": "346-616-0038",
            "fax_number": "346-843-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S STE 380",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792649",
            "telephone_number": "346-616-0038",
            "fax_number": "346-843-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA",
        "first_name": "CARMEN",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.