Active NPI
Raquel Garcia, AGACNP-BC
- Acute Care Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1457006447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1062380
- Practice address
- 1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866 - Phone
- (682) 207-1700
- Fax
- (682) 250-5246
- NPI assigned
- Feb 17, 2022
- Last updated
- Mar 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1062380 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | 1062380 | TX | Primary |
Addresses
Primary practice location
1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866
Mailing address
1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866
Phone (682) 207-1700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Epic | Direct |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1062380 | TX | MD | Nurse Practitioner |
Interoperability endpoints
- rgarcia12850@direct.acumenmd.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1457006447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 WINDSOR PL STE 102",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101866",
"telephone_number": "682-207-1700",
"fax_number": "682-250-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 WINDSOR PL STE 102",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101866",
"telephone_number": "682-207-1700",
"fax_number": "682-250-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "RAQUEL",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-17",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1062380",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1062380",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Epic",
"affiliation": "N",
"endpointDescription": "EMR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1902 Windsor Pl Ste 102",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761101866",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.