Individual provider Active NPI

Joel Benavides

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1821618752
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145141 Issued in TX
Practice address
21201 Morton Rd
Katy, TX 77449-1966
Phone
(281) 599-8888
Fax
(281) 578-2763
NPI assigned
Apr 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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 AP145141 TX Primary

Addresses

Primary practice location

21201 Morton Rd
Katy, TX 77449-1966

Mailing address

9723 Red Rugossa Dr
Houston, TX 77095-5085
Phone (281) 782-2527

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eric.bank@hcesd48.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP145141TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harris County Emergency Services District 48 PastSince Apr 26, 2020 Accepting new patients

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": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1821618752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9723 RED RUGOSSA DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955085",
            "telephone_number": "281-782-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21201 MORTON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774491966",
            "telephone_number": "281-599-8888",
            "fax_number": "281-578-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAVIDES",
        "first_name": "JOEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eric.bank@hcesd48.org",
            "affiliation": "N",
            "endpointDescription": "Eric Bank EMS Chief",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "21201 Morton Rd",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774491966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.