Rider Bueno

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1074259 Issued in TX

Practice address

4913 FM 517 Rd E
Dickinson, TX 77539-6094

Phone

(832) 340-5951

Fax

(832) 340-7786

NPI assigned

Jul 10, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rider Omar Bueno Fonseca Former name

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, 2022

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

Interoperability endpoints

• Direct secure messaging: rider.bueno.1@32447.direct.athenahealth.com
• Direct secure messaging: riderbueno@harihcl-tx.direct.office.nextgen.com

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.

• Clinica Familiar Dickinson, LLC

  • Primary Care Nurse Practitioner
  • Dickinson, TX
  • NPI 1952058315
  Medicare reassignment NPD
• H&R Integral Health Care LLC

  dba Clinica Familiar Sagrado Corazon

  • Family Nurse Practitioner
  • Pasadena, TX
  • NPI 1457010803
  NPD

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1972155935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 FM 517 RD E",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775396094",
            "telephone_number": "832-340-7951",
            "fax_number": "832-340-7786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 FM 517 RD E",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775396094",
            "telephone_number": "832-340-5951",
            "fax_number": "832-340-7786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8630 Easton Commons Dr Apt 405",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770953022",
            "country_code": "US",
            "telephone_number": "786-402-3432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUENO",
        "first_name": "RIDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "971397",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1074259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIDER",
            "last_name": "BUENO FONSECA",
            "middle_name": "OMAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles R Broman, M.D.
• Adam Brown, D.C.
• Ann L. Brown, MA, LPC
• Barbara S Brown, D.C.
• Charles Wayne Browne, DC
• Kyle Khuong Bui, PHARMD
• Eric Burton
• Butterfly Phlebotomy LLC
• C H Wilkinson Physician Network (Christus Medical Group Point of Light Clinic)
• C&Focus Eyecare

• Family Nurse Practitioner in Dickinson, TX
• Providers in Dickinson, 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 Sep 2, 2022; 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.