Individual provider Active NPI

Jessica Casimiro Le, FNP-BC

  • Family Nurse Practitioner
  • Sugar Land, TX
National Provider Identifier
1073370730
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1152850 Issued in TX
Practice address
13440 University Blvd Ste 180
Sugar Land, TX 77479-4908
Phone
(281) 994-7911
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 969109 TX
Family Nurse Practitioner 363LF0000X 1152850 TX Primary

Addresses

Primary practice location

13440 University Blvd Ste 180
Sugar Land, TX 77479-4908

Mailing address

9711 Hawkins LN
Missouri City, TX 77459-6352
Phone (832) 629-3474

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
I20241028001691 TX Practitioner - Nurse Practitioner 7315389707 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
969109TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tehmina Sami M.D P.a. CurrentSince Oct 7, 2024 Accepting new patients

Locations

13440 University Blvd
Ste 180
Sugar Land, TX 77479
Phone (281) 994-7911

Organizations & group practices 1

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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1073370730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 HAWKINS LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596352",
            "telephone_number": "832-629-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13440 UNIVERSITY BLVD STE 180",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794908",
            "telephone_number": "281-994-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "JESSICA",
        "middle_name": "CASIMIRO",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "969109",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1152850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.