Active NPI
Jaci Boggs Morris, L.S.A.
- Surgical Physician Assistant
- Pearland, TX
National Provider Identifier
1083825210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- SA00019
- Practice address
- 2880 Westchester Cir
Pearland, TX 77584-5827 - Phone
- (713) 557-8815
- Fax
- (281) 412-2875
- NPI assigned
- May 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | SA00019 | TX | Primary |
Addresses
Primary practice location
2880 Westchester Cir
Pearland, TX 77584-5827
Mailing address
2880 Westchester Cir
Pearland, TX 77584-5827
Phone (713) 557-8815
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA00019 | TX | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083825210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 WESTCHESTER CIR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775845827",
"telephone_number": "713-557-8815",
"fax_number": "281-412-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 WESTCHESTER CIR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775845827",
"telephone_number": "713-557-8815",
"fax_number": "281-412-2875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "JACI",
"middle_name": "BOGGS",
"credential": "L.S.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "SA00019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.