Individual provider Active NPI

Julie L Weatherly, NP

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1164612115
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
552022 Issued in TX
Practice address
915 Gessner Ste 650
Memorial City Medical Plaza 3
Houston, TX 77024-2403
Phone
(713) 468-2030
Fax
(713) 468-1940
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 552022 TX Primary

Addresses

Primary practice location

915 Gessner Ste 650
Memorial City Medical Plaza 3
Houston, TX 77024-2403

Mailing address

915 Gessner Ste 650
Memorial City Medical Plaza 3
Houston, TX 77024-2403
Phone (713) 468-2030

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
I20101029001101 TX Practitioner - Nurse Practitioner 1052505476 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Sep 1, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Sep 1, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Jan 1, 2014 Accepting new patients
Baylor College of Medicine CurrentSince Jan 1, 2014 Accepting new patients
Gulfton Medical Clinic Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

6550 Fannin St
#1018
Houston, TX 77030
Phone (713) 793-8902

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6550 Fannin St
Ste 1501
Houston, TX 77030
Phone (713) 441-5141

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1164612115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 GESSNER STE 650",
            "address_2": "MEMORIAL CITY MEDICAL PLAZA 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242403",
            "telephone_number": "713-468-2030",
            "fax_number": "713-468-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GESSNER STE 650",
            "address_2": "MEMORIAL CITY MEDICAL PLAZA 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242403",
            "telephone_number": "713-468-2030",
            "fax_number": "713-468-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERLY",
        "first_name": "JULIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "552022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.