Individual provider Active NPI

Dilver Alarcon Ricano, FNP -C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1962024976
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1019792 Issued in TX
Practice address
302 W Gulf Bank Rd Ste a
Houston, TX 77037-2365
Phone
(281) 447-7614
NPI assigned
May 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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 1019792 TX Primary

Addresses

Primary practice location

302 W Gulf Bank Rd Ste a
Houston, TX 77037-2365

Mailing address

9107 Shango LN
Houston, TX 77095-7060
Phone (832) 815-6374

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
I20210202002586 TX Practitioner - Nurse Practitioner 3274947221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1019792TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
360 Therapy & Psychological Services, LLC Past Accepting new patients

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": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1962024976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 SHANGO LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770957060",
            "telephone_number": "832-815-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W GULF BANK RD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770372365",
            "telephone_number": "281-447-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALARCON RICANO",
        "first_name": "DILVER",
        "name_prefix": "Mr.",
        "credential": "FNP -C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1019792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.