Active NPI
Mitalee Jiva
- Family Nurse Practitioner
- Shenandoah, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP134185
- Practice address
- 1890 Research Forest Dr
Shenandoah, TX 77381-4566 - Phone
- (832) 658-3600
- Fax
- (713) 897-7009
- NPI assigned
- Aug 10, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP134185 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | 803122 | TX |
Addresses
Primary practice location
1890 Research Forest Dr
Shenandoah, TX 77381-4566
Mailing address
1890 Research Forest Dr
Shenandoah, TX 77381-4566
Phone (832) 658-3600
Other practice location 1
9305 Pinecroft Dr Ste 101
The Woodlands, TX 77380-3482
Phone (713) 897-7005
Other practice location 2
5920 Saratoga Blvd Ste 320
Corpus Christi, TX 78414-4103
Phone (361) 992-1600
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781
1890 Research Forest Dr
Shenandoah, TX 77381-4566
Phone (832) 658-3600
915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222
Hospital & facility affiliations
- Accentcare Home Health of Houston - South, LLC
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 803122 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Medical Group | Current | Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Access Urgent Care-Kingsville LLC | Past | Accepting new patients |
Locations
6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627
1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800
915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222
909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523
1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781
1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330
3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876
1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100
1890 Research Forest Dr
Shenandoah, TX 77381
Phone (832) 658-3600
9305 Pinecroft Dr
Ste 101
The Woodlands, TX 77380
Phone (713) 897-7005
Interoperability endpoints
- mjiva66025@memorialhermann.direct-ci.com
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.
-
- Family Medicine Physician
- Fulshear, TX
- NPI 1003985102
-
- Urgent Care Clinic/Center
- Georgetown, TX
- NPI 1922289412
-
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1154472967
-
- Urgent Care Clinic/Center
- Kingsville, TX
- NPI 1679052666
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sugar Land, TX
- NPI 1477250140
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1023533080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1890 RESEARCH FOREST DR",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773814566",
"telephone_number": "832-658-3600",
"fax_number": "713-897-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 RESEARCH FOREST DR",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773814566",
"telephone_number": "832-658-3600",
"fax_number": "713-897-7009"
}
],
"practiceLocations": [
{
"address_1": "9305 Pinecroft Dr Ste 101",
"address_purpose": "LOCATION",
"city": "The Woodlands",
"state": "TX",
"postal_code": "773803482",
"country_code": "US",
"telephone_number": "713-897-7005",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5920 Saratoga Blvd Ste 320",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784144103",
"country_code": "US",
"telephone_number": "361-992-1600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIVA",
"first_name": "MITALEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-10",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP134185",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "803122",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.