Individual provider Active NPI

Mitalee Jiva

  • Family Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1023533080
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134185 Issued in TX
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

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180907002257 TX Practitioner - Nurse Practitioner 4082964317 Reassigns benefits to 2 organizations

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
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

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 Home health agency, Sugar Land, TX, CCN 679102
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
803122TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group CurrentSince Dec 20, 2021 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince May 14, 2019 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince May 14, 2019 Accepting new patients
Access Urgent Care-Kingsville LLC PastSince May 25, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.