Individual provider Active NPI

Yeseli Marie Cavazos, APRN

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1811575772
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1028924 Issued in TX
Practice address
5367 W Richey Rd
Houston, TX 77066-3323
Phone
(281) 895-3008
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1028924 TX Primary

Addresses

Primary practice location

5367 W Richey Rd
Houston, TX 77066-3323

Mailing address

7710 Smokey Wood LN
Houston, TX 77086-2427
Phone (713) 884-7845

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
I20250918002839 TX Practitioner - Nurse Practitioner 4082118484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RCH Brain and Mind Center TX PAGroup PAC ID 9032613328, 3 clinicians

Practice addresses (Care Compare)

1307 8TH Ave
Suite 403
Fort Worth, TX 76104-4143
Phone (682) 200-6082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1028924TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Champions Point Family Clinic LLC CurrentSince Apr 6, 2021 Accepting new patients
RCH Brain & Mind Center TX PA CurrentSince Jul 6, 2025 Accepting new patients

Locations

1307 8th Ave
Ste 403
Ft Worth, TX 76104
Phone (682) 200-6082

6655 Travis St
Ste 100
Houston, TX 77030
Phone (346) 568-0809

5367 W Richey Rd
Houston, TX 77066
Phone (281) 895-3008

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1811575772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 SMOKEY WOOD LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770862427",
            "telephone_number": "713-884-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5367 W RICHEY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663323",
            "telephone_number": "281-895-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVAZOS",
        "first_name": "YESELI",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1028924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.