Individual provider Active NPI

Paolo Briones, NP-C

  • Family Nurse Practitioner
  • Humble, TX
National Provider Identifier
1932617933
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136085 Issued in TX
Practice address
18980 W Memorial Dr Ste 100
Humble, TX 77338-4559
Phone
(832) 644-8930
Fax
(855) 227-3506
NPI assigned
Jan 12, 2018
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 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 AP136085 TX Primary

Addresses

Primary practice location

18980 W Memorial Dr Ste 100
Humble, TX 77338-4559

Mailing address

18980 W Memorial Dr Ste 100
Humble, TX 77338-4559
Phone (832) 644-8930

Other identifiers 1

IdentifierTypeStateIssuer
437810101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136085TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rajiv Agarwal MD PA Current Accepting new patients

Locations

18648 McKay Dr
Ste 110
Humble, TX 77338
Phone (832) 644-1456

18835 McKay Dr
Humble, TX 77338
Phone (832) 644-8930

18980 W Memorial Dr
Ste 100
Humble, TX 77338
Phone (832) 644-8930

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, 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": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1932617933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18980 W MEMORIAL DR STE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384559",
            "telephone_number": "832-644-8930",
            "fax_number": "855-227-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18980 W MEMORIAL DR STE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384559",
            "telephone_number": "832-644-8930",
            "fax_number": "855-227-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIONES",
        "first_name": "PAOLO",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-12",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "437810101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.