Active NPI 1790446227 Individual Practitioner Female Practitioner

Stephanie Portillo , CPNP-PC

Nurse Practitioner - Pediatrics • Pasadena, TX

Professional Overview & Biography Verified Profile Summary

Stephanie Portillo, CPNP-PC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Pasadena, TX. Practice services are available at 4949 FAIRMONT PKWY STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4949 Fairmont Pkwy Ste 200

Pasadena, TX 775053757

Telephone 7139411177

Associated Practice Facility / Clinic

🏢 Tch Pediatric Associates, Ins Facility NPI 1417057654

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Pasadena, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.0 Yrs

State Avg: 8.0 Yrs

Regional Practice Density

7 Specialists

Practicing in Pasadena, TX (2253 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-07

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX 1058111

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Dr. Eduardo Segura , MD

Pediatrics

NPI 1053313619

Doctor of Medicine (M.D.)

Corley Fichera , CPNP

Nurse Practitioner - Pediatrics

NPI 1295876936

Certified Pediatric Nurse Practitioner

Dr. Kristine O'connor , MD

Pediatrics

NPI 1316927213

Doctor of Medicine (M.D.)

Dr. Shea Palamountain , MD

Pediatrics

NPI 1376602078

Doctor of Medicine (M.D.)

Dr. Macharia Smith , MD

Pediatrics

NPI 1396825725

Doctor of Medicine (M.D.)

Chinelo Flores , FNP-C

Nurse Practitioner - Family

NPI 1659700771

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location October 07, 2023

Registered at 4949 FAIRMONT PKWY STE 200, PASADENA, TX 775053757 (Tel: 7139411177)

📍

Updated Business Mailing Address October 07, 2023

Registered at 4949 FAIRMONT PKWY STE 200, PASADENA, TX 775053757

✅

NPI Profile Active January 06, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2022

Registered at 5800 BELLAIRE BLVD # 102, HOUSTON, TX 770815537 (Tel: 7136688900)

📍

Updated Business Mailing Address January 06, 2022

Registered at 9911 BROOK MEADOW LN, HOUSTON, TX 770892144

👤

Provider Name / Credentials Updated January 06, 2022

Recorded as STEPHANIE PORTILLO, CPNP-PC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2022

Nurse Practitioner (License #1058111 in TX)

🟢

Initial NPI Registration & Enumeration January 06, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790446227

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 06, 2022

Last Update: October 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4949 Fairmont Pkwy Ste 200

Pasadena, TX 775053757

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.