JAQUELINA RAMOS NP
Complete NPI Record 1265153241
Nurse Practitioner - Acute Care in Webster, TX
Active since September 07, 2022PECOS EnrolledAccepts Medicare Assignment
Complete NPI Dataset
This page contains the complete raw NPPES record for Jaquelina Ramos, NP (NPI 1265153241), an individual nurse practitioner provider in Webster, TX. All 40 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1265153241 Field 1/40
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/40
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: RAMOS Field 3/40
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: JAQUELINA Field 4/40
- The first name of the provider, if the provider is an individual.
- Provider Credential Text: NP Field 5/40
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider First Line Business Mailing Address: 18333 EGRET BAY BLVD STE 140 Field 6/40
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: HOUSTON Field 7/40
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: TX Field 8/40
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 770583239 Field 9/40
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 10/40
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 2813323001 Field 11/40
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 200 BLOSSOM ST Field 12/40
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: WEBSTER Field 13/40
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: TX Field 14/40
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 775984204 Field 15/40
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/40
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8326326500 Field 17/40
- The telephone number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 20/40
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 363LG0600X Field 21/40
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 1082140 Field 22/40
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: TX Field 23/40
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 24/40
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 363LA2100X Field 25/40
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 2: 1082140 Field 26/40
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 2: TX Field 27/40
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 28/40
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 453305101 Field 29/40
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 05 Field 30/40
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: TX Field 31/40
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier 2: 453305102 Field 32/40
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 2: 05 Field 33/40
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 2: TX Field 34/40
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier 3: 8TL744 Field 35/40
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 3: 01 Field 36/40
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 3: TX Field 37/40
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Other Provider Identifier Issuer 3: BCBS Field 38/40
- The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
- Is Sole Proprietor: N Field 39/40
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 19
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
10800 Flora Mae Meadows Rd
Location 1/19Houston, TX 77089-5974 · Phone (832) 328-2350
3400 E Walnut St
Location 2/19Pearland, TX 77581-4716 · Phone (281) 485-2776
3950 Underwood Rd
Location 3/19LA Porte, TX 77571-3900 · Phone (210) 951-1900
301 University Blvd
Location 4/19Galveston, TX 77555-3239 · Phone (409) 772-2222
2240 Gulf Fwy S
Location 5/19League City, TX 77573-5143 · Phone (409) 772-1011
1500 Sunset Dr
Location 6/19Friendswood, TX 77546-4724 · Phone (281) 992-4300
255 N Egret Bay Blvd
Location 7/19League City, TX 77573-6533 · Phone (281) 525-4320
411 Alabama Ave
Location 8/19League City, TX 77573-2615 · Phone (281) 332-9588
6150 South Loop E
Location 9/19Houston, TX 77087-1010 · Phone (713) 643-2628
16130 Highway 3
Location 10/19Webster, TX 77598-2330 · Phone (832) 426-7030
350 Blossom St
Location 11/19Webster, TX 77598-4206 · Phone (281) 316-7800
709 W Medical Center Blvd
Location 12/19Webster, TX 77598-4005 · Phone (281) 332-3322
200 Blossom St
Location 13/19Webster, TX 77598-4204 · Phone (832) 632-6500
500 W Medical Center Blvd
Location 14/19Webster, TX 77598-4220 · Phone (281) 332-2511
5020 Space Center Blvd
Location 15/19Pasadena, TX 77505-3966 · Phone (713) 575-1800
655 E Medical Center Blvd
Location 16/19Webster, TX 77598-4328 · Phone (281) 286-1500
18333 Egret Bay Blvd Ste 140
Location 17/19Houston, TX 77058-3239 · Phone (281) 332-3001 ext. 106 · Fax (281) 332-3005
4900 E Sam Houston Pkwy S
Location 18/19Pasadena, TX 77505-1400 · Phone (281) 998-0399
110 E Medical Center Blvd
Location 19/19Webster, TX 77598-4301 · Phone (832) 224-9500
Other Provider Identifiers 3
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
453305101 Medicaid
Identifier 1/3State: TX
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
453305102 Medicaid
Identifier 2/3State: TX
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
8TL744 Other
Identifier 3/3State: TX · Issuer: Bcbs
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.
No registry entries match your active lookup criteria.
