Individual provider Active NPI

Eleanor Rivera Hethcox, N.P.

  • Acute Care Nurse Practitioner
  • League City, TX
National Provider Identifier
1447528518
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP121195 Issued in TX
Practice address
1372 Messina CT
League City, TX 77573-3270
Phone
(409) 256-3996
NPI assigned
Dec 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP121195 TX Primary

Addresses

Primary practice location

1372 Messina CT
League City, TX 77573-3270

Mailing address

1372 Messina CT
League City, TX 77573-3270
Phone (409) 256-3996

Other names 1

  • Ms. Eleanor Rivera Belen Former name

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
I20121011000322 TX Practitioner - Nurse Practitioner 8022267889 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP121195TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RXF Oc, PLLC Current Accepting new patients
Galveston Physical Medicine PLLC CurrentSince Nov 3, 2014 Accepting new patients
Duchon Chiropractic PastSince Nov 3, 2014 Accepting new patients

Locations

121 W Parkwood Ave
Friendswood, TX 77546
Phone (281) 482-5695

2724 61st St
Ste 5
Galveston, TX 77551
Phone (409) 744-9355

17080 Highway 3
Ste A
Webster, TX 77598
Phone (281) 557-5525

Interoperability endpoints

  • Direct secure messaging: eleanor.hethcox@692638276452356.direct.elationemr.com

Organizations & group practices 3

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": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1447528518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 MESSINA CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733270",
            "telephone_number": "409-256-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 MESSINA CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733270",
            "telephone_number": "409-256-3996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETHCOX",
        "first_name": "ELEANOR",
        "middle_name": "RIVERA",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP121195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELEANOR",
            "last_name": "BELEN",
            "middle_name": "RIVERA",
            "prefix": "MS.",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.