Individual provider Active NPI

Carol J Pachuta, R.N.

  • Medical-Surgical Registered Nurse
  • Houston, TX
National Provider Identifier
1437552171
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
439688 Issued in TX
Practice address
12930 East Fwy
Houston, TX 77015-5710
Phone
(713) 453-6909
Fax
(713) 453-7627
NPI assigned
Oct 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 439688 TX Primary
Orthopedic Registered Nurse 163WX0800X 439688 TX

Addresses

Primary practice location

12930 East Fwy
Houston, TX 77015-5710

Mailing address

12930 East Fwy
Houston, TX 77015-5710
Phone (713) 453-6909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
439688TXMDOrthopedic Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1437552171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155710",
            "telephone_number": "713-453-6909",
            "fax_number": "713-453-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155710",
            "telephone_number": "713-453-6909",
            "fax_number": "713-453-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHUTA",
        "first_name": "CAROL",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "439688",
            "primary": true
        },
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "TX",
            "license": "439688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.