Individual provider Active NPI

Jacqueline Vaglienty

  • Acute Care Nurse Practitioner
  • The Woodlands, TX
National Provider Identifier
1003206897
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP126698 Issued in TX
Practice address
17200 St Lukes Way
The Woodlands, TX 77384-8007
Phone
(936) 266-2000
NPI assigned
Jan 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP126698 TX Primary

Addresses

Primary practice location

17200 St Lukes Way
The Woodlands, TX 77384-8007

Mailing address

6565 Fannin St Ste B452
Houston, TX 77030-2703
Phone (713) 441-3620

Other practice location 1

6565 Fannin St Ste B452
Houston, TX 77030-2703
Phone (713) 441-3620

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
I20150409001195 TX Practitioner - Nurse Practitioner 6800114539 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince May 21, 2016 Accepting new patients
Baylor College of Medicine CurrentSince Mar 25, 2024 Accepting new patients
Baylor College of Medicine CurrentSince Mar 25, 2024 Accepting new patients
TMH Physician Associates PLLC CurrentSince May 21, 2016 Accepting new patients

Locations

7200 Cambridge St
Fl 6
Houston, TX 77030
Phone (713) 798-2545

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

6565 Fannin St
Ste B452
Houston, TX 77030
Phone (713) 441-3620

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500

17450 St Lukes Way
Ste 340
The Woodlands, TX 77384
Phone (936) 266-2645

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

Organizations & group practices 4

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": "1422662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1003206897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 FANNIN ST STE B452",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302703",
            "telephone_number": "713-441-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 ST LUKES WAY",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848007",
            "telephone_number": "936-266-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Fannin St Ste B452",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302703",
            "country_code": "US",
            "telephone_number": "713-441-3620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAGLIENTY",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-31",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP126698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.