Individual provider Active NPI

Jennifer Thuy VI Lopez, FNP-BC

  • Family Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1093384943
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1045614 Issued in TX
Practice address
605 E San Antonio St Ste 510E
Victoria, TX 77901-6011
Phone
(361) 576-9342
NPI assigned
Jun 23, 2021
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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 1045614 TX Primary
Primary Care Nurse Practitioner 363LP2300X 1045614 TX

Addresses

Primary practice location

605 E San Antonio St Ste 510E
Victoria, TX 77901-6011

Mailing address

118 Flint Rock CT
Victoria, TX 77904-2957
Phone (317) 225-3657

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.lopez.1@1902.direct.athenahealth.com

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
I20220120000382 TX Practitioner - Nurse Practitioner 0648662817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

605 E San Antonio St
Suite 510E
Victoria, TX 77901-6011
Phone (361) 578-3515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1045614TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Feb 1, 2022 Accepting new patients
Regional Employee Assistance Program Inc. CurrentSince Feb 1, 2022 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients

Locations

1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

101 James Coleman Dr
Victoria, TX 77904
Phone (346) 541-6421

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

601 E San Antonio St
Ste 203W
Victoria, TX 77901
Phone (361) 485-1885

605 E San Antonio St
Ste 510E
Victoria, TX 77901
Phone (361) 576-9342

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1093384943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 FLINT ROCK CT",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042957",
            "telephone_number": "317-225-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E SAN ANTONIO ST STE 510E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016011",
            "telephone_number": "361-576-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JENNIFER",
        "middle_name": "THUY VI",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2022-04-22",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1045614",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1045614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.lopez.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "605 E San Antonio St Ste 510E",
            "city": "Victoria",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779016011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.