Individual provider Active NPI

Priscilla Kristina Ramos, FNP

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1124331038
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
607836 Issued in TX
Practice address
10410 Medical Loop
Unit 4 B
Laredo, TX 78045-6671
Phone
(956) 794-8870
NPI assigned
Jul 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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 607836 TX Primary

Addresses

Primary practice location

10410 Medical Loop
Unit 4 B
Laredo, TX 78045-6671

Mailing address

10410 Medical Loop
Unit 4 B
Laredo, TX 78045-6671
Phone (956) 794-8870

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
I20110127001031 TX Practitioner - Nurse Practitioner 6507045150 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
607836TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johol C Chan DO PA CurrentSince Mar 26, 2014 Accepting new patients

Locations

7210 McPherson Rd
Ste 120
Laredo, TX 78041
Phone (956) 718-6966

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": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1124331038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 MEDICAL LOOP",
            "address_2": "UNIT 4 B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456671",
            "telephone_number": "956-794-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 MEDICAL LOOP",
            "address_2": "UNIT 4 B",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456671",
            "telephone_number": "956-794-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "PRISCILLA",
        "middle_name": "KRISTINA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "607836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.