Individual provider Active NPI

Jordan Boynton, FNP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1083004105
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127330 Issued in TX
Practice address
4423 Griggs Rd
Houston, TX 77021-2815
Phone
(713) 429-0655
Fax
(713) 429-0670
NPI assigned
Jan 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP127330 TX Primary

Addresses

Primary practice location

4423 Griggs Rd
Houston, TX 77021-2815

Mailing address

4423 Griggs Rd
Houston, TX 77021-2815
Phone (713) 429-0655

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
I20150417001589 TX Practitioner - Nurse Practitioner 0042538274 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP127330TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Feb 23, 2015 Accepting new patients
Dedicated Physicians Group of Texas PLLC CurrentSince Feb 1, 2023 Accepting new patients
Baylor College of Medicine CurrentSince Feb 23, 2015 Accepting new patients
Baylor College of Medicine CurrentSince Mar 1, 2015 Accepting new patients
TMH Physician Associates PLLC CurrentSince Oct 7, 2022 Accepting new patients
TMH Physician Associates PLLC CurrentSince Oct 7, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Mar 1, 2015 Accepting new patients
Dedicated Physicians Group of Texas, PLLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

8471 Gulf Fwy
Houston, TX 77017
Phone (314) 390-5433

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

4423 Griggs Rd
Houston, TX 77021
Phone (713) 429-0655

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

3601 N Macgregor Way
#105
Houston, TX 77004

15200 Southwest Fwy
Ste 175
Sugar Land, TX 77478
Phone (281) 494-0550

Interoperability endpoints

  • Direct secure messaging: jboynton421303@directhoustonmethodist.org

Organizations & group practices 8

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": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1083004105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 GRIGGS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212815",
            "telephone_number": "713-429-0655",
            "fax_number": "713-429-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 GRIGGS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212815",
            "telephone_number": "713-429-0655",
            "fax_number": "713-429-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYNTON",
        "first_name": "JORDAN",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-27",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.