Individual provider Active NPI

Tiffany Lopez, NP

  • Primary Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1972908499
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP141617 Issued in TX
Practice address
2323 Polk St Apt 307
Houston, TX 77003-4407
Phone
(832) 968-7175
Fax
(713) 583-8095
NPI assigned
Oct 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP014321 PA
Primary Care Nurse Practitioner 363LP2300X AP141617 TX Primary

Addresses

Primary practice location

2323 Polk St Apt 307
Houston, TX 77003-4407

Mailing address

2450 Louisiana St
Ste 400 PMB 748
Houston, TX 77006-2380
Phone (832) 968-7175

Other practice location 1

788 Washington Rd
Pittsburgh, PA 15228-2021
Phone (412) 307-4609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150105000983 PA Practitioner - Nurse Practitioner 5698098366
I20200327002188 TX Practitioner - Nurse Practitioner 5698098366 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP014321PAMDPrimary Care Nurse Practitioner
AP141617TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Procenture Medical Services LLC CurrentSince Nov 1, 2020 Accepting new patients
Kjcares, PLLC CurrentSince Aug 8, 2021 Accepting new patients

Locations

2450 Louisiana St
Ste 400
Houston, TX 77006
Phone (713) 446-9706

Organizations & group practices 2

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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1972908499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 LOUISIANA ST",
            "address_2": "STE 400 PMB 748",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770062380",
            "telephone_number": "832-968-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 POLK ST APT 307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770034407",
            "telephone_number": "832-968-7175",
            "fax_number": "713-583-8095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "788 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152282021",
            "country_code": "US",
            "telephone_number": "412-307-4609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "TIFFANY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP014321",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP141617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.