Individual provider Active NPI

Reshma Ali Farahani

  • Gerontology Nurse Practitioner
  • Katy, TX
National Provider Identifier
1023706413
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AG03230094 Issued in TX
Practice address
26902 Camirillo Creek LN
Katy, TX 77494-8014
Phone
(713) 384-8074
NPI assigned
Apr 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AG03230094 TX Primary

Addresses

Primary practice location

26902 Camirillo Creek LN
Katy, TX 77494-8014

Mailing address

26902 Camirillo Creek LN
Katy, TX 77494-8014
Phone (713) 384-8074

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
I20250429002077 TX Practitioner - Nurse Practitioner 2961928379 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG03230094TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Odessa Consultants, LLC CurrentSince Feb 23, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: reshma.farahani.1@9928.direct.athenahealth.com

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": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1023706413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26902 CAMIRILLO CREEK LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948014",
            "telephone_number": "713-384-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26902 CAMIRILLO CREEK LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948014",
            "telephone_number": "713-384-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAHANI",
        "first_name": "RESHMA",
        "middle_name": "ALI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AG03230094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.