Individual provider Active NPI

Roxanne Marie Morales

  • Family Nurse Practitioner
  • League City, TX
National Provider Identifier
1134615461
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137826 Issued in TX
Practice address
2240 Gulf Fwy S FL 4
League City, TX 77573-5143
Phone
(832) 505-1234
NPI assigned
Jul 10, 2018
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP137826 TX Primary
Emergency Medicine Physician 207P00000X AP137826 TX

Addresses

Primary practice location

2240 Gulf Fwy S FL 4
League City, TX 77573-5143

Mailing address

PO Box 650859
Dept 710
Dallas, TX 75265
Phone (409) 772-2222

Other practice location 1

2600 Fm 1764 Rd Ste 190
LA Marque, TX 77568-2826
Phone (281) 886-8964

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
I20180808003553 TX Practitioner - Nurse Practitioner 5496003345 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians
Texas Em-I Medical Services PAGroup PAC ID 6507760543, 24 clinicians

Practice addresses (Care Compare)

10121 Emmett F Lowry Expy
Texas City, TX 77591-2286
Phone (409) 986-9686

301 University Blvd
Galveston, TX 77555-5302
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137826TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aic Primary Care, PLLC CurrentSince Dec 21, 2020 Accepting new patients
Texas Em-I Medical Services PA Emergency Medicine CurrentSince Jul 15, 2018 Accepting new patients
Texas Em-I Medical Services, PA CurrentSince Jul 15, 2018 Accepting new patients
Utmb Faculty Group Practice Emergency Medicine CurrentSince Jul 26, 2021 Accepting new patients
Aic Urgent Care. PLLC Emergency Medicine CurrentSince Dec 21, 2020 Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

3128 S Highway 35
Alvin, TX 77511
Phone (281) 886-8964

3128 S Highway 35
#C
Alvin, TX 77511
Phone (281) 886-8964

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

104 7th St
#M
Bay City, TX 77414
Phone (979) 241-5521

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

2600 FM 1764 Rd
Ste 190
La Marque, TX 77568
Phone (281) 886-8964

2240 Gulf Fwy S
Fl 4
League City, TX 77573
Phone (832) 505-1234

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

10121 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-8466

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

Organizations & group practices 6

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.

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": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1134615461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650859",
            "address_2": "DEPT 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75265",
            "telephone_number": "409-772-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 GULF FWY S FL 4",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775735143",
            "telephone_number": "832-505-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Fm 1764 Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "LA Marque",
            "state": "TX",
            "postal_code": "775682826",
            "country_code": "US",
            "telephone_number": "281-886-8964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "ROXANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137826",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "AP137826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.