Active NPI
Monique Antonette Reid
- Licensed Vocational Nurse
- Stafford, TX
National Provider Identifier
1013418482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 215128
- Practice address
- 12371 S Kirkwood Rd
Stafford, TX 77477-2836 - Phone
- (713) 995-9292
- NPI assigned
- Feb 21, 2018
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 215128 | TX | Primary |
Addresses
Primary practice location
12371 S Kirkwood Rd
Stafford, TX 77477-2836
Mailing address
14000 Ella Blvd Apt 1117
Houston, TX 77014-2577
Phone (832) 286-3141
Other practice location 1
110 Cypress Station Dr Ste 270
Houston, TX 77090-1639
Phone (832) 253-1188
Other practice location 2
14515 Briarhills Pkwy Ste 208
Houston, TX 77077-1034
Phone (713) 575-2000
Other names 1
- Monique Antonette Jackson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 215128 | TX | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Health Services, Inc. | Past | Accepting new patients | |
| Epic Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1013418482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14000 ELLA BLVD APT 1117",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770142577",
"telephone_number": "832-286-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12371 S KIRKWOOD RD",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774772836",
"telephone_number": "713-995-9292"
}
],
"practiceLocations": [
{
"address_1": "110 Cypress Station Dr Ste 270",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770901639",
"country_code": "US",
"telephone_number": "832-253-1188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14515 Briarhills Pkwy Ste 208",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770771034",
"country_code": "US",
"telephone_number": "713-575-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REID",
"first_name": "MONIQUE",
"middle_name": "ANTONETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "215128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONIQUE",
"last_name": "JACKSON",
"middle_name": "ANTONETTE",
"credential": "LVN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.