Imelda Lawas Duterte, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1022169 Issued in TX

Practice address

18951 N Memorial Dr
Humble, TX 77338-4217

Phone

(281) 540-7700

NPI assigned

Dec 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sowmya Puthalapattu PA

  • Nephrology Physician
  • Kingwood, TX
  • NPI 1427494087

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1295495711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24201 EMERSON CREEK LN",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773658811",
            "telephone_number": "128-135-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18951 N MEMORIAL DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384217",
            "telephone_number": "281-540-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTERTE",
        "first_name": "IMELDA",
        "middle_name": "LAWAS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "1022169",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1022169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Leigh Dupuis, BCBA
• John Victor Duran
• Maria A Duran
• Susan G Durgapersad, D.D.S.
• Durrani Pain Medicine PLLC
• DWCK, LLC
• E Howard Pediatric Dentistry, PLLC
• E. John R. Samuel, MD, PA
• Latishica Eaden
• Eagle'S Nest Medical Center

• Nurse Practitioner in Humble, TX
• Providers in Humble, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.