Individual provider Active NPI

Wilma Juliana Barboza, MSN,APRN,AGACNP

  • Acute Care Nurse Practitioner
  • The Woodlands, TX
National Provider Identifier
1073154779
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP143322 Issued in TX
Practice address
17350 St Lukes Way Ste 330
The Woodlands, TX 77384-4103
Phone
(713) 798-7717
Fax
(713) 798-8516
NPI assigned
Oct 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 720452 TX
Acute Care Nurse Practitioner 363LA2100X AP143322 TX Primary

Addresses

Primary practice location

17350 St Lukes Way Ste 330
The Woodlands, TX 77384-4103

Mailing address

1 Baylor PLZ # Bcm390
Houston, TX 77030-3411
Phone (713) 798-7367

Other practice location 1

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2300

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Shenandoah

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
I20221122001732 TX Practitioner - Nurse Practitioner 6305214347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
720452TXMDAcute Care Nurse Practitioner
AP143322TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Oct 15, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Oct 15, 2022 Accepting new patients

Locations

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

17350 St Lukes Way
Ste 330
The Woodlands, TX 77384
Phone (713) 798-7717

17450 St Lukes Way
Ste 340
The Woodlands, TX 77384
Phone (936) 266-2645

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

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": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1073154779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ # BCM390",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "713-798-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17350 ST LUKES WAY STE 330",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844103",
            "telephone_number": "713-798-7717",
            "fax_number": "713-798-8516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9250 Pinecroft Dr",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803218",
            "country_code": "US",
            "telephone_number": "713-897-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBOZA",
        "first_name": "WILMA",
        "middle_name": "JULIANA",
        "name_prefix": "Mrs.",
        "credential": "MSN,APRN,AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "720452",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP143322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Shenandoah",
            "affiliation": "N",
            "address_1": "9250 Pinecroft Dr",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773803218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.