Active NPI
Julie K Coulter, PA
- Physician Assistant
- Houston, TX
National Provider Identifier
1215976345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02925
- Practice address
- 11800 FM 1960 Rd W
Houston, TX 77065-3840 - Phone
- (281) 955-7577
- Fax
- (281) 955-5875
- NPI assigned
- Jun 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02925 | TX | Primary |
Addresses
Primary practice location
11800 FM 1960 Rd W
Houston, TX 77065-3840
Mailing address
PO Box 4627
Houston, TX 77210-4627
Phone (281) 955-7577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8Y0051 | Other | TX | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cypress Surgical Services, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgical Physician Assistant
- Houston, TX
- NPI 1932618675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1215976345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4627",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104627",
"telephone_number": "281-955-7577",
"fax_number": "281-955-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 FM 1960 RD W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770653840",
"telephone_number": "281-955-7577",
"fax_number": "281-955-5875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULTER",
"first_name": "JULIE",
"middle_name": "K",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02925",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "8Y0051",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.