Individual provider Active NPI

Rachael Farmilette, PA

  • Physician Assistant
  • Pearland, TX
National Provider Identifier
1033717640
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13922 Issued in TX
Practice address
2017 Broadway St Ste a
Pearland, TX 77581-5501
Phone
(281) 485-9990
Fax
(281) 485-9469
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13922TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pearland Pediatrics CurrentSince Oct 19, 2020 Accepting new patients
Pearland Pediatric Urgent Care PA PastSince Oct 19, 2020 Accepting new patients

Locations

2017 Broadway St
#A
Pearland, TX 77581
Phone (281) 485-9990

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13922 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

2017 Broadway St Ste a
Pearland, TX 77581-5501

Mailing address

2017 Broadway St Ste a
Pearland, TX 77581-5501
Phone (281) 485-9990

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2020.

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1033717640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 BROADWAY ST STE A",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815501",
            "telephone_number": "281-485-9990",
            "fax_number": "281-485-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 BROADWAY ST STE A",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815501",
            "telephone_number": "281-485-9990",
            "fax_number": "281-485-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMILETTE",
        "first_name": "RACHAEL",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.