Individual provider Active NPI

Rebecca Ralston, NP

  • Primary Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1811540313
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP141203 Issued in TX
Practice address
11226 Southwest Fwy Ste a
Houston, TX 77031-3604
Phone
(832) 536-9891
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP141203 TX Primary

Addresses

Primary practice location

11226 Southwest Fwy Ste a
Houston, TX 77031-3604

Mailing address

11226 Southwest Fwy Ste a
Houston, TX 77031-3604
Phone (832) 536-9891

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
I20190930000232 TX Practitioner - Nurse Practitioner 8729318068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Pain and Regenerative Medicine PLLCGroup PAC ID 9739449554, 2 clinicians

Practice addresses (Care Compare)

11226 Southwest Fwy
Suite a
Houston, TX 77031-3604
Phone (832) 993-7072

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pain and Regenerative Medicine PLLC CurrentSince Jun 22, 2024 Accepting new patients

Locations

11226 Southwest Fwy
Ste A
Houston, TX 77031
Phone (832) 486-9346

4660 Sweetwater Blvd
Ste 270
Sugar Land, TX 77479
Phone (281) 344-2034

1455 FM 646 Rd W
Ste 202
Texas City, TX 77539
Phone (832) 738-1710

Interoperability endpoints

  • Direct secure messaging: rebecca.ralston@3188.securemail.prognocis.com

Organizations & group practices 1

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1811540313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11226 SOUTHWEST FWY STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313604",
            "telephone_number": "832-536-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11226 SOUTHWEST FWY STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313604",
            "telephone_number": "832-536-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALSTON",
        "first_name": "REBECCA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP141203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.