Individual provider Active NPI

Radcliffe Myers, FNP-BC

  • Family Nurse Practitioner
  • South Houston, TX
National Provider Identifier
1699135418
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129527 Issued in TX
Practice address
1201 S Allen Genoa Rd
South Houston, TX 77587-4464
Phone
(713) 667-3666
NPI assigned
Mar 7, 2016
Last updated
Mar 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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 AP129527 TX Primary

Addresses

Primary practice location

1201 S Allen Genoa Rd
South Houston, TX 77587-4464

Mailing address

9715 Dry Creek CT
Richmond, TX 77469-2084
Phone (210) 441-0851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170927002923 NM Practitioner - Nurse Practitioner 3173897287 Reassigns benefits to 2 organizations
I20240212002218 TX Practitioner - Nurse Practitioner 3173897287 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP129527TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Dec 30, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 7, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince May 13, 2018 Accepting new patients
Advantage Home Care, Inc. PastSince Aug 2, 2020 Accepting new patients
Emergency Medical Doctors Services PLLC PastSince Oct 13, 2013 Accepting new patients

Locations

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

5123 Juan Tabo Blvd NE
Albuquerque, NM 87111
Phone (505) 292-3333

1831 Camino del Llano
Belen, NM 87002
Phone (505) 864-1600

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1699135418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 DRY CREEK CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692084",
            "telephone_number": "210-441-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S ALLEN GENOA RD",
            "city": "SOUTH HOUSTON",
            "state": "TX",
            "postal_code": "775874464",
            "telephone_number": "713-667-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "RADCLIFFE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Houston, TX

Sources for this page

Verify at the official NPI Registry.