Individual provider Active NPI

Irene Raquel Huerta, WHNP-BC

  • Women's Health Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1356785448
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP122238 Issued in TX
Practice address
7121 S Padre Island Dr Ste 100
Corpus Christi, TX 78412-4939
Phone
(361) 993-6000
Fax
(361) 993-0266
NPI assigned
Apr 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP122238 TX Primary

Addresses

Primary practice location

7121 S Padre Island Dr Ste 100
Corpus Christi, TX 78412-4939

Mailing address

7121 S Padre Island Dr Ste 100
Corpus Christi, TX 78412-4939
Phone (361) 993-6000

Other identifiers 3

IdentifierTypeStateIssuer
329976003MedicaidTX
AP122238OtherTXTX BOARD OF NURSING - WOMEN'S HEALTH NURSE PRACTITIONER
104322768OtherNATIONAL CERTIFICATION CORPORATION - WHNP-BC

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
I20131113000964 TX Practitioner - Nurse Practitioner 4385870708 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Bend Womens Center PLLC CurrentSince Feb 10, 2020 Accepting new patients
Lisa M. Jukes, MD, PA Past Accepting new patients

Locations

7121 Spid Dr
Ste 200
Corpus Christi, TX 78412
Phone (361) 993-6000

7121 S Padre Island Dr
Ste 100
Corpus Christi, TX 78412
Phone (361) 985-1418

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1356785448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 S PADRE ISLAND DR STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124939",
            "telephone_number": "361-993-6000",
            "fax_number": "361-993-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 S PADRE ISLAND DR STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124939",
            "telephone_number": "361-993-6000",
            "fax_number": "361-993-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUERTA",
        "first_name": "IRENE",
        "middle_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP122238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329976003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BOARD OF NURSING - WOMEN'S HEALTH NURSE PRACTITIONER",
            "identifier": "AP122238",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION CORPORATION - WHNP-BC",
            "identifier": "104322768",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.