Individual provider Active NPI

Abner Lumanog, NP

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1952987166
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1027777 Issued in TX
Practice address
13031 Wortham Center Dr
Houston, TX 77065-5662
Phone
(832) 280-2500
NPI assigned
Mar 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1027777 TX Primary

Addresses

Primary practice location

13031 Wortham Center Dr
Houston, TX 77065-5662

Mailing address

11918 Moonlit Falls Dr
Cypress, TX 77433-3848
Phone (832) 513-5553

Other practice location 1

20180 Chasewood Park Dr
Houston, TX 77070-1436
Phone (281) 205-5100

Other practice location 2

11297 Fallbrook Dr, Houston, TX 77065
Houston, TX 77065-7706
Phone (281) 517-1000

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1027777TXMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1952987166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11918 MOONLIT FALLS DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333848",
            "telephone_number": "832-513-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13031 WORTHAM CENTER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655662",
            "telephone_number": "832-280-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20180 Chasewood Park Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770701436",
            "country_code": "US",
            "telephone_number": "281-205-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11297 Fallbrook Dr, Houston, TX 77065",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770657706",
            "country_code": "US",
            "telephone_number": "281-517-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUMANOG",
        "first_name": "ABNER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1027777",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 19, 2021; 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.