Individual provider Active NPI

Mayra Ramos, AGACNP

  • Acute Care Nurse Practitioner
  • Baytown, TX
National Provider Identifier
1104302090
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1177943 Issued in TX
Practice address
1602 W Baker Rd Ste 201
Baytown, TX 77521-2282
Phone
(281) 428-4024
NPI assigned
Jul 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 321205 TX
Acute Care Nurse Practitioner 363LA2100X 1177943 TX Primary

Addresses

Primary practice location

1602 W Baker Rd Ste 201
Baytown, TX 77521-2282

Mailing address

2219 Foley Rd
Crosby, TX 77532-7249
Phone (832) 629-9123

Other practice location 1

4401 Garth Rd
Baytown, TX 77521-2122
Phone (281) 420-8600

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
I20260408001818 TX Practitioner - Nurse Practitioner 7810462793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2219 Foley Rd
Crosby, TX 77532-7249

4143 Pine Crest TRL
Houston, TX 77059-3219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
321205TXMDLicensed Vocational Nurse
1177943TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jajja Health PLLC CurrentSince Mar 20, 2025 Accepting new patients
Rashid M Siddiqi MD PA PastSince Mar 20, 2025 Accepting new patients
Advocate Pediatric Home Care LLC Past Accepting new patients

Locations

1602 W Baker Rd
Ste 201
Baytown, TX 77521
Phone (281) 428-4024

1602 W Baker Rd
Ste A
Baytown, TX 77521
Phone (281) 428-4024

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHCJBD

Organizations & group practices 3

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1104302090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 FOLEY RD",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775327249",
            "telephone_number": "832-629-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W BAKER RD STE 201",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212282",
            "telephone_number": "281-428-4024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Garth Rd",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775212122",
            "country_code": "US",
            "telephone_number": "281-420-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "MAYRA",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "321205",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1177943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.