Individual provider Active NPI

Julia Raquel

  • Gerontology Nurse Practitioner
  • Houston, TX
National Provider Identifier
1730819855
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1076086 Issued in TX
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

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221010003316 TX Practitioner - Nurse Practitioner 1153707401 Reassigns benefits to 1 organization

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
Minivasive Pain Specialists,PLLCGroup PAC ID 7113278896, 29 clinicians

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 Hospital, Humble, TX, CCN 670266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903230TXMDRegistered Nurse
1076086TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minivasive Pain Specialists,PLLC CurrentSince Sep 1, 2022 Accepting new patients
Houston Kidney Specialists Center PLLC PastSince Jun 21, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.