Individual provider Active NPI

Bettina Rachel Raju

  • Family Nurse Practitioner
  • Humble, TX
National Provider Identifier
1861861262
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128993 Issued in TX
Practice address
18842 S Memorial Dr Ste 206
Humble, TX 77338-4229
Phone
(713) 426-0027
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 AP128993 TX Primary

Addresses

Primary practice location

18842 S Memorial Dr Ste 206
Humble, TX 77338-4229

Mailing address

2150 W 18TH St Ste 300
Houston, TX 77008-1289
Phone (281) 668-8802

Other identifiers 1

IdentifierTypeStateIssuer
3776486-05MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Area Community Services, Inc. Family CurrentSince Mar 10, 2020 Accepting new patients
Houston Area Community Services, Inc. Family CurrentSince Mar 10, 2020 Accepting new patients
Houston Area Community Services, Inc. Past Accepting new patients

Locations

17010 Sugar Pine Dr
Houston, TX 77090
Phone (281) 537-1491

2920 Fannin St
Houston, TX 77002
Phone (713) 341-3790

902 Frostwood Dr
Ste 142
Houston, TX 77024
Phone (713) 827-8266

14095 Main St
Houston, TX 77035
Phone (832) 830-8345

2150 W 18th St
Ste 300
Houston, TX 77008

18842 S Memorial Dr
Ste 206
Humble, TX 77338
Phone (281) 446-1014

Organizations & group practices 3

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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1861861262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W 18TH ST STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081289",
            "telephone_number": "281-668-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18842 S MEMORIAL DR STE 206",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384229",
            "telephone_number": "713-426-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJU",
        "first_name": "BETTINA",
        "middle_name": "RACHEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3776486-05",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.