Individual provider Active NPI

Jessica Chavera Puzyk

  • EEG Technician
  • Houston, TX
National Provider Identifier
1093579682
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EEG TechnicianTaxonomy code 2472E0500X
Practice address
19214 Noah Arbor LN
Houston, TX 77094-4130
Phone
(281) 744-9735
Fax
(254) 765-2754
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Technician 2472E0500X Primary

Addresses

Primary practice location

19214 Noah Arbor LN
Houston, TX 77094-4130

Mailing address

19214 Noah Arbor LN
Houston, TX 77094-4130
Phone (281) 744-9735

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

Practice roles

OrganizationSpecialtyStatusNew patients
E-Wave Diagnostics Incorporated Eeg CurrentSince Mar 12, 2024 Accepting new patients

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": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1093579682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19214 NOAH ARBOR LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770944130",
            "telephone_number": "281-744-9735",
            "fax_number": "254-765-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19214 NOAH ARBOR LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770944130",
            "telephone_number": "281-744-9735",
            "fax_number": "254-765-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUZYK",
        "first_name": "JESSICA",
        "middle_name": "CHAVERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.