Individual provider Active NPI

Feb Ray Framo Demasiado

  • Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1831697622
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP135075 Issued in TX
Practice address
9114 McPherson Rd Ste 2508
Laredo, TX 78045-6511
Phone
(956) 568-3638
Fax
(956) 568-3665
NPI assigned
Jan 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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 AP135075 TX Primary
Family Nurse Practitioner 363LF0000X AP135075 TX

Addresses

Primary practice location

9114 McPherson Rd Ste 2508
Laredo, TX 78045-6511

Mailing address

PO Box 243
Katy, TX 77492-0243
Phone (281) 712-4722

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
I20190506000245 TX Practitioner - Nurse Practitioner 2264774637 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Su Clinica Familiar CurrentSince Dec 1, 2023 Accepting new patients

Locations

105 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 831-8338

1706 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 365-6000

Interoperability endpoints

  • Direct secure messaging: feb.ray.demasiado.1@27715.direct.athenahealth.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": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1831697622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774920243",
            "telephone_number": "281-712-4722",
            "fax_number": "281-712-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 MCPHERSON RD STE 2508",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456511",
            "telephone_number": "956-568-3638",
            "fax_number": "956-568-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMASIADO",
        "first_name": "FEB RAY",
        "middle_name": "FRAMO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-26",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP135075",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.