Julie Ngozi Carrillo, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2021184447 Issued in TX

Practice address

6500 Hornwood Dr
Houston, TX 77074-5095

Phone

(713) 995-0909

Fax

(713) 777-1747

NPI assigned

Apr 1, 2022

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• West Coast Wound and Skin Care Inc

  • Surgery Physician
  • Burbank, CA
  • NPI 1437675980

  TX

  Medicare reassignment NPD
• J McBea Health Care Services, Inc.

  • Home Health Agency
  • Houston, TX
  • NPI 1639387657
  NPD Authorized official
• 360 Therapy & Psychological Services, LLC

  • Clinical Psychologist
  • Houston, TX
  • NPI 1952035701
  NPD (past)

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1457091712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2351",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774022351",
            "telephone_number": "832-754-7287",
            "fax_number": "713-777-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 HORNWOOD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770745095",
            "telephone_number": "713-995-0909",
            "fax_number": "713-777-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "JULIE",
        "middle_name": "NGOZI",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "2021184447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Carrillo
• Esmeralda Carrillo, PA-C
• Jessica Carrillo
• Jessica Cecilia Carrillo, MD
• Jorge Hernando Carrillo, PH.D.
• Lisa Carrillo, PT
• Louis Carrillo, M.D.
• Maria Lourdes Carrillo, LCSW
• Matthew Paden Carrillo, MA, LPC, LMHC, NCC
• Miguel Angel Carrillo, LMSW

• Psychiatric/Mental Health Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.