Individual provider Active NPI

Rachael Aline Tootle, FNP-BC

  • Family Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1114235199
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP121420 Issued in TX
Practice address
5530 Long Prairie Trce Ste 400
Richmond, TX 77407-2331
Phone
(832) 400-9623
Fax
(281) 864-0449
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP121420 TX Primary

Addresses

Primary practice location

5530 Long Prairie Trce Ste 400
Richmond, TX 77407-2331

Mailing address

5530 Long Prairie Trce Ste 400
Richmond, TX 77407-2331
Phone (832) 400-9623

Other identifiers 1

IdentifierTypeStateIssuer
AP121420OtherTXTEXAS LICENSE NUMBER

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
I20130118000337 TX Practitioner - Nurse Practitioner 3971771809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Richmond Medical Clinic Inc PLLCGroup PAC ID 0042668444, 2 clinicians

Practice addresses (Care Compare)

5530 Long Prairie Trce
Suite 400
Richmond, TX 77407-2331
Phone (832) 400-9623

Hospital & facility affiliations

  • Interim Healthcare Home health agency, Pearland, TX, CCN 747159

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Medical Clinic Inc PLLC CurrentSince Sep 1, 2025 Accepting new patients
Northwest Urgent Care Past Accepting new patients
Icare Clinic PLLC PastSince Sep 1, 2019 Accepting new patients
Peak Primary Care PastSince Mar 1, 2025 Accepting new patients

Locations

1900 E Henderson St
Cleburne, TX 76031
Phone (817) 645-0409

10318 Lake Rd
Houston, TX 77070
Phone (832) 744-9779

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1114235199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 LONG PRAIRIE TRCE STE 400",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072331",
            "telephone_number": "832-400-9623",
            "fax_number": "281-864-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 LONG PRAIRIE TRCE STE 400",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072331",
            "telephone_number": "832-400-9623",
            "fax_number": "281-864-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOTLE",
        "first_name": "RACHAEL",
        "middle_name": "ALINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP121420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE NUMBER",
            "identifier": "AP121420",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.