Individual provider Active NPI

Rebecca A Grimaldo, R.N., FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1457433757
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
554544 Issued in TX
Practice address
1051 Pineloch Dr
Suite 600
Houston, TX 77062-2742
Phone
(281) 990-9979
Fax
(281) 990-9916
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 554544 TX Primary

Addresses

Primary practice location

1051 Pineloch Dr
Suite 600
Houston, TX 77062-2742

Mailing address

1051 Pineloch Dr
Suite 600
Houston, TX 77062-2742
Phone (281) 990-9979

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, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Lake Neurology PLLC Past Accepting new patients
Neches Rehabilitation and Testing Inc Past Accepting new patients
Lewis K. Clarke, M.D., P.a. Past Accepting new patients
Memorial Southeast Emergency Physicians, LLP Past Accepting new patients
Clear Lake Neuro Diagnostic Clinic PLLC Past Accepting new patients

Organizations & group practices 5

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1457433757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 PINELOCH DR",
            "address_2": "SUITE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622742",
            "telephone_number": "281-990-9979",
            "fax_number": "281-990-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PINELOCH DR",
            "address_2": "SUITE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770622742",
            "telephone_number": "281-990-9979",
            "fax_number": "281-990-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDO",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "R.N., FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "554544",
            "primary": true
        }
    ],
    "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, 2012; 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.