Individual provider Active NPI

Vivian Irabor

  • Primary Care Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1902284508
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP127851 Issued in TX
Practice address
9215 Clearwater Ranch LN
Richmond, TX 77407-1701
Phone
(281) 265-0409
NPI assigned
May 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP127851 TX Primary

Addresses

Primary practice location

9215 Clearwater Ranch LN
Richmond, TX 77407-1701

Mailing address

9215 Clearwater Ranch LN
Richmond, TX 77407-1701

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
I20220307001001 TX Practitioner - Nurse Practitioner 9739573890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

12611 S Gessner Rd
Houston, TX 77071-2850
Phone (346) 202-3492

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P CurrentSince Mar 1, 2022 Accepting new patients
Villagemd of Southeast Texas, PA CurrentSince Mar 1, 2022 Accepting new patients

Locations

12611 S Gessner Rd
Houston, TX 77071
Phone (346) 202-3492

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

12611 S Gessner Rd
Ste B
Houston, TX 77071
Phone (346) 202-3492

4650 Westway Park Blvd
Ste 206
Houston, TX 77041
Phone (346) 980-2725

Interoperability endpoints

  • Direct secure messaging: vivian.irabor.1@13711.direct.athenahealth.com

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1902284508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 CLEARWATER RANCH LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9215 CLEARWATER RANCH LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071701",
            "telephone_number": "281-265-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRABOR",
        "first_name": "VIVIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP127851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.