Individual provider Active NPI

Camilla E Juhl-Petersen, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1073809232
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
W0056 Issued in TX
Practice address
1770 Saint James PL Ste 608
Houston, TX 77056-3433
Phone
(281) 241-8681
Fax
(281) 720-3968
NPI assigned
Jun 24, 2011
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MED-PHYS-LIC-49461 MT
Family Medicine Physician 207Q00000X 6049 AK
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X W0056 TX Primary

Addresses

Primary practice location

1770 Saint James PL Ste 608
Houston, TX 77056-3433

Mailing address

1770 Saint James PL Ste 608
Houston, TX 77056-3433
Phone (281) 241-8681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-49461MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valia Health, PLLC Family Medicine Past Accepting new patients
Barrett Hospital Development Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: camilla.juhl-petersen@489977005998084.direct.elationemr.com
  • Direct secure messaging: cjuhlpetersen87874@wm.providencedirect.org
  • FHIR API: https://api.platform.athenahealth.com/27326/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1073809232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 SAINT JAMES PL STE 608",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563433",
            "telephone_number": "281-241-8681",
            "fax_number": "281-720-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 SAINT JAMES PL STE 608",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563433",
            "telephone_number": "281-241-8681",
            "fax_number": "281-720-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUHL-PETERSEN",
        "first_name": "CAMILLA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-49461",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "6049",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "W0056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.