Individual provider Active NPI

Rawda Nourain

  • Psychiatric/Mental Health Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1275195570
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1158956 Issued in TX
Practice address
4810 Riverstone Blvd
Suite 300
Missouri City, TX 77459-4092
Phone
(682) 559-1339
NPI assigned
Jul 8, 2019
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1158956 TX Primary
Registered Nurse 163W00000X 966581 TX

Addresses

Primary practice location

4810 Riverstone Blvd
Suite 300
Missouri City, TX 77459-4092

Mailing address

4810 Riverstone Blvd
Suite 100
Missouri City, TX 77459-4092
Phone (682) 559-1339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240820002723 TX Practitioner - Nurse Practitioner 3173061223 Reassigns benefits to 7 organizations
I20251230002827 AZ Practitioner - Nurse Practitioner 3173061223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
966581TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Border Region MH Mr Community Center CurrentSince Oct 1, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 31, 2024 Accepting new patients
Mindfulness Behavioral Health PLLC Psychiatric/Mental Health CurrentSince Nov 30, 2024 Accepting new patients
Burke Center CurrentSince Sep 1, 2024 Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Aug 1, 2024 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation CurrentSince Sep 1, 2024 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation CurrentSince Sep 1, 2024 Accepting new patients
Texana Center CurrentSince Aug 1, 2024 Accepting new patients
Burke Center PastSince Sep 1, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

6800 Park Ten Blvd
Ste 200S
San Antonio, TX 78213
Phone 21026110001060

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

Interoperability endpoints

  • Direct secure messaging: rawda.nourain.1@23834.direct.athenahealth.com

Organizations & group practices 10

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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1275195570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 RIVERSTONE BLVD",
            "address_2": "SUITE 100",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594092",
            "telephone_number": "682-559-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 RIVERSTONE BLVD",
            "address_2": "SUITE 300",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594092",
            "telephone_number": "682-559-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURAIN",
        "first_name": "RAWDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1158956",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "966581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.