Individual provider Active NPI

Juliet Emovon, APRN-CNP, BSN, RN

  • Family Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1700367398
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1061788 Issued in TX
Practice address
4502 Riverstone Blvd Ste 905
Missouri City, TX 77459-5206
Phone
(281) 903-7613
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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 1061788 TX Primary
Registered Nurse 163W00000X 930974 TX

Addresses

Primary practice location

4502 Riverstone Blvd Ste 905
Missouri City, TX 77459-5206

Mailing address

29306 Ribbongrass CT
Katy, TX 77494-7385
Phone (682) 230-5106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
930974TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Jun 20, 2022 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 20, 2022 Accepting new patients
Vpa of Texas PLLC CurrentSince Jun 20, 2022 Accepting new patients
Nestar Med Care LLC Past Accepting new patients

Locations

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

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1700367398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29306 RIBBONGRASS CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947385",
            "telephone_number": "682-230-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 RIVERSTONE BLVD STE 905",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595206",
            "telephone_number": "281-903-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMOVON",
        "first_name": "JULIET",
        "credential": "APRN-CNP,  BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1061788",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "930974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.