Individual provider Active NPI

Jomarie Avalos, FNP

  • Family Nurse Practitioner
  • Rio Hondo, TX
National Provider Identifier
1225778665
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1029580 Issued in TX
Practice address
1601 Retama
Rio Hondo, TX 78583
Phone
(956) 295-5797
NPI assigned
Apr 1, 2022
Last updated
Dec 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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 1029580 TX Primary

Addresses

Primary practice location

1601 Retama
Rio Hondo, TX 78583

Mailing address

11012 Airline Dr Ste a
Houston, TX 77037-1112

Other practice location 1

1601 Retama St
Rio Hondo, TX 78583-3184
Phone (956) 295-5797

Other identifiers 1

IdentifierTypeStateIssuer
5151MedicaidTX

Other names 1

  • Jomarie Avalos Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL computer Health Information Exchange (HIE)
SOAP URL computer Health Information Exchange (HIE)

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
I20221220000872 TX Practitioner - Nurse Practitioner 2860861523 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1029580TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Padmini Bhadriraju MD P.a. CurrentSince Nov 10, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 18, 2024 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

5215 S McColl Rd
Edinburg, TX 78539
Phone (956) 631-7100

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

2000 S McColl Rd
Ste B
McAllen, TX 78503
Phone (956) 215-6010

104 S Bryan Rd
Mission, TX 78572
Phone (956) 271-4950

910 S Bryan Rd
Ste 107
Mission, TX 78572
Phone (956) 271-4950

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFBCCD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1225778665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 AIRLINE DR STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770371112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 RETAMA",
            "city": "RIO HONDO",
            "state": "TX",
            "postal_code": "78583",
            "telephone_number": "956-295-5797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Retama St",
            "address_purpose": "LOCATION",
            "city": "Rio Hondo",
            "state": "TX",
            "postal_code": "785833184",
            "country_code": "US",
            "telephone_number": "956-295-5797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVALOS",
        "first_name": "JOMARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1029580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5151",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "computer",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1601 Retama",
            "city": "Rio Hondo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "computer",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1601 Retama St",
            "city": "Rio Hondo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785833184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOMARIE",
            "last_name": "AVALOS",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rio Hondo, TX

Sources for this page

Verify at the official NPI Registry.