Individual provider Active NPI

Reeba Jacobhose

  • Primary Care Nurse Practitioner
  • Bellaire, TX
National Provider Identifier
1053018531
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1076192 Issued in TX
Practice address
4500 Bissonnet St Ste 355
Bellaire, TX 77401-3124
Phone
(713) 592-8900
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1076192 TX Primary

Addresses

Primary practice location

4500 Bissonnet St Ste 355
Bellaire, TX 77401-3124

Mailing address

11019 Ramp Creek LN
Sugar Land, TX 77498-7231

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
1076192TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Embee Lifestyle Docs PLLC CurrentSince Feb 19, 2023 Accepting new patients
Health Reset 360 PLLC CurrentSince Feb 17, 2026 Accepting new patients

Locations

4500 Bissonnet St
Ste 355
Bellaire, TX 77401
Phone (214) 702-8748

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1053018531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11019 RAMP CREEK LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BISSONNET ST STE 355",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013124",
            "telephone_number": "713-592-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBHOSE",
        "first_name": "REEBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1076192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.