Individual provider Active NPI

Raude Yepez, CSFA

  • Surgical Assistant
  • Houston, TX
National Provider Identifier
1982013199
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
151336 Issued in CO
Practice address
7501 Fannin St
Houston, TX 77054-1938
Phone
(713) 375-7000
Fax
(713) 375-7205
NPI assigned
Aug 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 151336 CO Primary

Addresses

Primary practice location

7501 Fannin St
Houston, TX 77054-1938

Mailing address

10103 Marisa Alexis Dr
Houston, TX 77075-4693
Phone (713) 906-6544

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

State licenses

LicenseStateTypeSpecialty
151336COMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1982013199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 MARISA ALEXIS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770754693",
            "telephone_number": "713-906-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541938",
            "telephone_number": "713-375-7000",
            "fax_number": "713-375-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEPEZ",
        "first_name": "RAUDE",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "151336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.