Individual provider Active NPI

Meredith Marie Roachell, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1609214261
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP123648 Issued in TX
Practice address
6701 Fannin St Ste 640
Houston, TX 77030-2610
Phone
(832) 822-3250
Fax
(832) 825-9070
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 727565 TX
Family Nurse Practitioner 363LF0000X AP123648 TX Primary

Addresses

Primary practice location

6701 Fannin St Ste 640
Houston, TX 77030-2610

Mailing address

842 Coastal CT
League City, TX 77573-1528

Other practice location 1

6330 West Loop S Ste 300
Bellaire, TX 77401-2936
Phone (713) 839-0164

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
I20140213001555 TX Practitioner - Nurse Practitioner 9830328848 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
727565TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group CurrentSince Mar 6, 2024 Accepting new patients
Magella Medical Associates Billing, Inc. CurrentSince May 28, 2021 Accepting new patients
Texas Children'S Hospital Past Accepting new patients

Locations

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

6330 West Loop S
Ste 300
Bellaire, TX 77401
Phone (713) 839-0164

815 Market St
Galveston, TX 77550
Phone (409) 770-6600

6701 Fannin St
Ste 640
Houston, TX 77030
Phone (832) 822-0697

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6550 Fannin St
Ste 2001
Houston, TX 77030
Phone (713) 796-2001

11777 FM 1960 Rd W
Houston, TX 77065
Phone (832) 828-3501

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

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": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1609214261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 COASTAL CT",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 FANNIN ST STE 640",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302610",
            "telephone_number": "832-822-3250",
            "fax_number": "832-825-9070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6330 West Loop S Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774012936",
            "country_code": "US",
            "telephone_number": "713-839-0164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROACHELL",
        "first_name": "MEREDITH",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "727565",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.