Active NPI
Julia Raquel
- Gerontology Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1076086
- Practice address
- 2656 S Loop W Ste 595
Houston, TX 77054-5618 - Phone
- (346) 800-6001
- NPI assigned
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 903230 | TX | |
| Nurse Practitioner | 363L00000X | 1076086 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 1076086 | TX | Primary |
Addresses
Primary practice location
2656 S Loop W Ste 595
Houston, TX 77054-5618
Mailing address
2656 S Loop W Ste 595
Houston, TX 77054-5618
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
310 Kingwood Executive Dr C
Kingwood, TX 77339-2752
Phone (346) 800-6001
6002 Rogerdale Rd
Suite 590
Houston, TX 77072-1660
Phone (346) 800-6001
Hospital & facility affiliations
- Townsen Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 903230 | TX | MD | Registered Nurse |
| 1076086 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minivasive Pain Specialists,PLLC | Current | Accepting new patients | |
| Houston Kidney Specialists Center PLLC | Past | Accepting new patients |
Locations
720 Avenue F N
Ste 3
Bay City, TX 77414
Phone (281) 720-6910
15201 East Fwy
Ste 118
Channelview, TX 77530
2656 S Loop W
Ste 595
Houston, TX 77054
7272 Pinemont Dr
Ste A
Houston, TX 77040
2636 S Loop W
Ste 301
Houston, TX 77054
2051 Greenhouse Rd
Ste 240
Houston, TX 77084
6002 Rogerdale Rd
Ste 590
Houston, TX 77072
310 Kingwood Executive Dr
Ste C
Kingwood, TX 77339
Phone (281) 312-6313
11233 Shadow Creek Pkwy
Ste 121
Pearland, TX 77584
Phone (713) 436-0148
3307 Spring Stuebner Rd
Ste D
Spring, TX 77389
Phone (363) 800-6001
3301 Spring Stuebner Rd
Ste 110
Spring, TX 77389
Phone (832) 919-1789
11925 Southwest Fwy
Ste 1
Stafford, TX 77477
14861 Southwest Fwy
Ste C302
Sugar Land, TX 77478
Phone (281) 340-1234
4660 Sweetwater Blvd
Ste 190
Sugar Land, TX 77479
Phone (281) 313-0551
155 School St
Ste 230
Tomball, TX 77375
205 E Medical Center Blvd
Ste 100
Webster, TX 77598
Interoperability endpoints
- https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- Spring, TX
- NPI 1477099851
-
- Nephrology Physician
- Houston, TX
- NPI 1396217162
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Humble, TX
- NPI 1376870840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1730819855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2656 S LOOP W STE 595",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770545618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2656 S LOOP W STE 595",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770545618",
"telephone_number": "346-800-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAQUEL",
"first_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "903230",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1076086",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "1076086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.