Individual provider Active NPI

Evangeline Rabara Treadwell, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1972679736
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
685367 Issued in TX
Practice address
2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817
Phone
(903) 530-9591
NPI assigned
Nov 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 685367 TX Primary

Addresses

Primary practice location

2411 Fountain View Dr
Suite 200
Houston, TX 77057-4817

Mailing address

3115 College Park Dr 107
The Woodlands, TX 77384-4001
Phone (936) 494-3003

Other identifiers 3

IdentifierTypeStateIssuer
8669UUOtherTXBLUE CROSS BLUE SHIELD
155476803MedicaidTX
89664UOtherTXBCBS

Other names 1

  • Evangeline Rabara Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070815000446 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426140856 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians
Usm Anesthesia Associates LLCGroup PAC ID 3779638853, 10 clinicians

Practice addresses (Care Compare)

1441 Woodstead CT
Suite 100
The Woodlands, TX 77380-1449
Phone (281) 363-0058

1501 River Pointe Dr
Suite 260
Conroe, TX 77304-2861
Phone (936) 494-3003

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

Merit-based Incentive Payment System (MIPS)

Final score
33.22 of 100Reported as group
Quality
21.89
Improvement activities
0
Cost
70.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002036CTMDProfessional Counselor
685367TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mother Frances Hospital Regional Health Care Center Current Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2009 Accepting new patients
Bayou Anesthesia and Pain P.a. CurrentSince Feb 20, 2012 Accepting new patients
Northwest Anesthesiology & Pain Services, P.a. CurrentSince Apr 7, 2024 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2009 Accepting new patients
Mint Anesthesia, PLLC CurrentSince Feb 5, 2024 Accepting new patients
Usm Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince May 21, 2010 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2007 Accepting new patients

Locations

690 S Loop 336 W
Ste 215
Conroe, TX 77304
Phone (936) 228-9980

1501 River Pointe Dr
Ste 260
Conroe, TX 77304
Phone (936) 494-3003

690 S Loop 336 W
Ste 130
Conroe, TX 77304
Phone (936) 232-9646

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

17080 Red Oak Dr
Houston, TX 77090
Phone (281) 298-7441

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

7010 Champions Plaza Dr
Ste 300
Houston, TX 77069
Phone (832) 698-5320

5420 Dashwood Dr
Ste 103
Houston, TX 77081
Phone (713) 661-9550

7010 Champions Plaza Dr
Ste 400
Houston, TX 77069
Phone (832) 698-5320

1500 Citywest Blvd
Ste 300
Houston, TX 77042
Phone (713) 458-4185

2411 Fountain View Dr
Ste 200
Houston, TX 77057
Phone (713) 458-4185

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

7010 Champions Plaza Dr
Houston, TX 77069
Phone (832) 698-5320

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

3725 E League City Pkwy
Ste 240
League City, TX 77573
Phone (281) 316-7111

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

3115 College Park Dr
Ste 107
The Woodlands, TX 77384
Phone (936) 321-5440

3115 College Park Dr
Ste 103C
The Woodlands, TX 77384
Phone (936) 271-3400

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

1441 Woodstead Ct
Ste 100
The Woodlands, TX 77380
Phone (281) 363-0058

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27020/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1972679736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR 107",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844001",
            "telephone_number": "936-494-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 FOUNTAIN VIEW DR",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574817",
            "telephone_number": "903-530-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWELL",
        "first_name": "EVANGELINE",
        "middle_name": "RABARA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "685367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8669UU",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155476803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89664U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVANGELINE",
            "last_name": "RABARA",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.