Individual provider Active NPI

Raquel Taylor

  • Family Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1194595801
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2390456 Issued in MA
Practice address
927 N Baker St Apt 2
Stockton, CA 95203-2239
Phone
(404) 796-0109
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 RN2390456 MA Primary
Nurse Practitioner 363L00000X 353013 NY

Addresses

Primary practice location

927 N Baker St Apt 2
Stockton, CA 95203-2239

Mailing address

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7100

Other names 1

  • Raquel Humphrey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250306003280 MA Practitioner - Nurse Practitioner 7618498643 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10200 Richmond Ave
Suite 150
Houston, TX 77042-4199

7877 Willow Chase Blvd
Houston, TX 77070-5934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
353013NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Healthcare Medical Group Inc CurrentSince Feb 1, 2025 Accepting new patients
Psychiatry of Texas PLLC Family CurrentSince Nov 1, 2025 Accepting new patients
Psychplus Medical Associates, PLLC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Signature Healthcare Urgent Care, Inc. Current Accepting new patients
Signature Healthcare Urgent Care, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Signature Healthcare Urgent Care, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Psychplus Medical Associates of Michigan, PLLC Family Past Accepting new patients

Locations

673 Bedford St
Abington, MA 02351
Phone (781) 878-0001

110 Liberty St
Ste 1C
Brockton, MA 02301
Phone (508) 941-7100

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

650 Centre St
Brockton, MA 02302
Phone (508) 580-8682

110 Liberty St
Brockton, MA 02301

20 East St
Ste 20
Hanover, MA 02339
Phone (781) 829-8900

20 East St
Hanover, MA 02339
Phone (781) 826-1150

73 Belmont St
#A
South Easton, MA 02375
Phone (781) 806-3007

909 Sumner St
Stoughton, MA 02072
Phone (508) 427-2480

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Interoperability endpoints

  • Direct secure messaging: raquel.humphrey@direct.signature.masshiway.net

Organizations & group practices 7

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": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1194595801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 CENTRE ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023308",
            "telephone_number": "508-941-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 N BAKER ST APT 2",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032239",
            "telephone_number": "404-796-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RAQUEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2390456",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "353013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAQUEL",
            "last_name": "HUMPHREY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.