Individual provider Active NPI

Raven Aravind, AG-ACNP

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1518592534
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP144708 Issued in TX
Practice address
1900 Caddo Street
Number 4
Dallas, TX 75204-4223
Phone
(817) 266-5142
NPI assigned
Mar 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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 AP144708 TX Primary

Addresses

Primary practice location

1900 Caddo Street
Number 4
Dallas, TX 75204-4223

Mailing address

1900 Caddo Street
Number 4
Dallas, TX 75204-4223

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Dallas

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Consultants, P. a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: raravind345016@direct.houstonmethodist.org

Organizations & group practices 1

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1518592534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CADDO STREET",
            "address_2": "NUMBER 4",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752044223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CADDO STREET",
            "address_2": "NUMBER 4",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752044223",
            "telephone_number": "817-266-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAVIND",
        "first_name": "RAVEN",
        "credential": "AG-ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP144708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "address_1": "1900 Caddo St Unit 4",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752044223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.