Individual provider Active NPI

Jarmal Alise Henkis, LVN

  • Licensed Vocational Nurse
  • Sugar Land, TX
National Provider Identifier
1023519741
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
176785 Issued in TX
Practice address
8410 Highway 90a
Sugar Land, TX 77478-3188
Phone
(281) 238-8775
NPI assigned
Feb 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 176785 TX Primary

Addresses

Primary practice location

8410 Highway 90a
Sugar Land, TX 77478-3188

Mailing address

8410 Highway 90a
Sugar Land, TX 77478-3188

Other identifiers 1

IdentifierTypeStateIssuer
176785OtherTXLICENSE VOCATIONAL NURSE

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
176785TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1023519741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 HIGHWAY 90A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 HIGHWAY 90A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783188",
            "telephone_number": "281-238-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKIS",
        "first_name": "JARMAL",
        "middle_name": "ALISE",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "176785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE VOCATIONAL NURSE",
            "identifier": "176785",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.