Active NPI
Willie M Villarreal, DNP, FNP, MSN, RNFA
- Family Nurse Practitioner
- Conroe, TX
National Provider Identifier
1841359692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP129624
- Practice address
- 2257 N Loop 336 W Ste 140-407
Conroe, TX 77304-3566 - Phone
- (936) 524-7317
- Fax
- (936) 788-5659
- NPI assigned
- Dec 7, 2006
- Last updated
- Jun 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP129624 | TX | Primary |
| Registered Nurse First Assistant | 163WR0006X | 680131 | TX |
Addresses
Primary practice location
2257 N Loop 336 W Ste 140-407
Conroe, TX 77304-3566
Mailing address
2257 N Loop 336 W Ste 140-407
Conroe, TX 77304-3566
Phone (936) 524-7317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171733201 | Medicaid | TX |
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 680131 | TX | MD | Registered Nurse First Assistant |
| AP129624 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capstone Surgical Associates, PLLC | Registered Nurse First Assistant | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Registered Nurse First Assistant
- Conroe, TX
- NPI 1124263405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1841359692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2257 N LOOP 336 W STE 140-407",
"city": "CONROE",
"state": "TX",
"postal_code": "773043566",
"telephone_number": "936-524-7317",
"fax_number": "936-788-5659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2257 N LOOP 336 W STE 140-407",
"city": "CONROE",
"state": "TX",
"postal_code": "773043566",
"telephone_number": "936-524-7317",
"fax_number": "936-788-5659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "WILLIE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DNP, FNP, MSN, RNFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP129624",
"primary": true
},
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "TX",
"license": "680131",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171733201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.