Individual provider Active NPI

Jefferson Reynaldo Rabanzo, NP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1760863609
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128313 Issued in TX
Practice address
5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone
(361) 985-5811
NPI assigned
Jun 16, 2015
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP128313 TX
Family Nurse Practitioner 363LF0000X AP128313 TX Primary

Addresses

Primary practice location

5950 Saratoga Blvd
Corpus Christi, TX 78414-4100

Mailing address

5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone (361) 985-5811

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
I20150804003263 TX Practitioner - Nurse Practitioner 5294049318 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Emergency Physicians, PLLCGroup PAC ID 6204280480, 108 clinicians
Travis County Emergency Physicians PAGroup PAC ID 0840289468, 289 clinicians

Practice addresses (Care Compare)

1311 E Gen Cvazos Blvd
Kingsville, TX 78363-7150
Phone (361) 595-1661

6565 Fannin St
Houston, TX 77030-2703
Phone (713) 790-3311

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conner Emergency Medicine Associates, PA Nurse Practitioner CurrentSince Feb 15, 2018 Accepting new patients
Guadalupe Emergency Medicine Associates, PA Nurse Practitioner CurrentSince Mar 1, 2018 Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Dec 6, 2024 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Jul 19, 2023 Accepting new patients
Gulf Coast Emergency Physicians, PLLC Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Singleton Associates PA Nurse Practitioner Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Methodist Health Centers Past Accepting new patients
Abk Emergency Physicians PLLC Nurse Practitioner Past Accepting new patients

Locations (25 of 32)

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

13725 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-4243

2606 Hospital Blvd
Corpus Christi, TX 78405
Phone (361) 902-4151

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

1635 S Voss Rd
Houston, TX 77057
Phone (713) 441-8020

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

1702 US Highway 181
Portland, TX 78374
Phone (361) 761-2273

400 Enterprise Blvd
Rockport, TX 78382
Phone (361) 221-5227

Organizations & group practices 11

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.

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1760863609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 SARATOGA BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144100",
            "telephone_number": "361-985-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 SARATOGA BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144100",
            "telephone_number": "361-985-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABANZO",
        "first_name": "JEFFERSON",
        "middle_name": "REYNALDO",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP128313",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.