Rowena Mirmohammadi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP127079 Issued in TX

Practice address

1229 S Veterans Blvd
San Juan, TX 78589-3232

Phone

(956) 362-8365

Fax

(956) 362-8370

NPI assigned

Apr 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Edinburg Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Edinburg, TX
  • NPI 1942467113
  Medicare reassignment NPD
• Centrum Medical Group PLLC

  • General Practice Physician
  • McAllen, TX
  • NPI 1033099627
  NPD
• Edinburg Pediatric Network LLC

  • General Practice Physician
  • Pharr, TX
  • NPI 1669708780
  NPD
• Centrum Medical Group, PLLC

  • General Practice Physician
  • Katy, TX
  • NPI 1376219543
  NPD (past)
• Centrum Medical Group, PLLC

  • General Practice Physician
  • Houston, TX
  • NPI 1659024537
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1942696539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-8365",
            "fax_number": "956-362-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 S VETERANS BLVD",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893232",
            "telephone_number": "956-362-8365",
            "fax_number": "956-362-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRMOHAMMADI",
        "first_name": "ROWENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mermaid Walking Inc
• Vanessa O Meza, COTA
• Mi Hacienda Adult Day Care LLC
• Michelle J Trevino
• Mid-Valley Behavioral Health and Psychological Services
• Alondra Moncada
• Kayla Megan Bo Montemayor, PA
• Miguel Montemayor, LPC
• Roberto Montez
• Graciela Morales, PA

• Family Nurse Practitioner in San Juan, TX
• Providers in San Juan, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.