Individual provider Active NPI

Loretta O Emesih

  • Family Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1487303616
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1051887 Issued in TX
Practice address
23307 Fieldrose CT
Richmond, TX 77407-2879
Phone
(832) 235-0771
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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 1051887 TX Primary

Addresses

Primary practice location

23307 Fieldrose CT
Richmond, TX 77407-2879

Mailing address

23307 Fieldrose CT
Richmond, TX 77407-2879
Phone (832) 235-0771

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
I20240130000845 TX Practitioner - Nurse Practitioner 7618320318 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Lilly Pediatrics LLC CurrentSince Mar 27, 2022 Accepting new patients
KHS Geriatrics Inc Family CurrentSince Jan 19, 2024 Accepting new patients

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1487303616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23307 FIELDROSE CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072879",
            "telephone_number": "832-235-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23307 FIELDROSE CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072879",
            "telephone_number": "832-235-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMESIH",
        "first_name": "LORETTA",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1051887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.