Vismari Vicente Cordova, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1050632 Issued in TX

Practice address

12919 W Bellfort Ave
Sugar Land, TX 77478-1838

Phone

(832) 810-7105

Fax

(832) 810-7106

NPI assigned

Jan 18, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jed Brothers LLC

  • Primary Care Clinic/Center
  • Sugar Land, TX
  • NPI 1790596682
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1737158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1942011820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12919 W BELLFORT AVE",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774781838",
            "telephone_number": "832-810-7105",
            "fax_number": "832-810-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12919 W BELLFORT AVE",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774781838",
            "telephone_number": "832-810-7105",
            "fax_number": "832-810-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENTE CORDOVA",
        "first_name": "VISMARI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-18",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1050632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vertex Digital Orbit LLC
• VFS DME LLC
• VFS Sports Medicine PLLC
• VI Tan and Associates
• Elizabeth Torres Via, M.D.
• Ileana Vicente
• Victor J. Atun MD, PA
• Victor R Trevino DDS
• Victoria'S Kin Inc
• Victorian Healthcare Services, Inc.

• Family Nurse Practitioner in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.