Elma Rallos, AGNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1118054 Issued in TX

Practice address

13725 Northwest Blvd Ste II
Corpus Christi, TX 78410-5127

Phone

(361) 767-6100

Fax

(361) 767-6112

NPI assigned

Sep 8, 2023

Last updated

Sep 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1366229817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13725 NORTHWEST BLVD STE II",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105127",
            "telephone_number": "361-767-6100",
            "fax_number": "361-767-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 NORTHWEST BLVD STE II",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105127",
            "telephone_number": "361-767-6100",
            "fax_number": "361-767-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALLOS",
        "first_name": "ELMA",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1118054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Anisur Rahman, M.D
• Shekhar Siddappa Raj, MD
• Veena N Raj, DMD
• Veena S Raja, DDS, PHD
• Edward N Raleigh, M.D.
• Ramya Ramachandra, MD
• Srikanth Ramachandruni, M.D
• Malavika Rao Ramasagaram, MD
• Elizabeth Grace Ramirez-Sullivan, LCSW
• Alexyss Nicole Ramirez

• Gerontology Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.