Individual provider Active NPI

Qiong Lu, FNP-C

  • Family Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1891452264
Registry record updated Jul 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
05220028 Issued in TX
Practice address
920 Medical Plaza Dr
Shenandoah, TX 77380-3260
Phone
(713) 897-2300
NPI assigned
Nov 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 05220028 TX
Primary Care Nurse Practitioner 363LP2300X 05220028 TX
Family Nurse Practitioner 363LF0000X 05220028 TX Primary

Addresses

Primary practice location

920 Medical Plaza Dr
Shenandoah, TX 77380-3260

Mailing address

9250 Pinecroft Dr
Shenandoah, TX 77380-3218

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Qiong.Lu@memorialhermann.org

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
I20230711002387 TX Practitioner - Nurse Practitioner 8325407158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodlands Heart and Vascular Institute PAGroup PAC ID 2860531977, 3 clinicians

Practice addresses (Care Compare)

920 Medical Plaza Dr
Suite 260
Shenandoah, TX 77380-3275
Phone (832) 562-3974

Hospital & facility affiliations

  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05220028TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlands Heart and Vascular Institute, PA CurrentSince Mar 29, 2023 Accepting new patients

Locations

920 Medical Plaza Dr
Ste 520
Shenandoah, TX 77380
Phone (832) 562-3974

920 Medical Plaza Dr
Ste 260
Shenandoah, TX 77380
Phone (281) 292-3999

Interoperability endpoints

  • Direct secure messaging: qiong.lu@memorialhermann.org
  • Direct secure messaging: qlu66206@memorialhermann.direct-ci.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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1637366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688774400000",
    "number": "1891452264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 PINECROFT DR",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803260",
            "telephone_number": "713-897-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "QIONG",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-20",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "05220028",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "05220028",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "05220028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Qiong.Lu@memorialhermann.org",
            "affiliation": "N",
            "address_1": "920 Medical Plaza Dr",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773803260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.