Active NPI
Beatrice Jacky, LBSW
- Social Worker
- Houston, TX
National Provider Identifier
1114194107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 16037
- Practice address
- 8876 Gulf Fwy Ste 420
Houston, TX 77017-6544 - Phone
- (713) 807-1500
- Fax
- (713) 527-8558
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 16037 | TX | Primary |
Addresses
Primary practice location
8876 Gulf Fwy Ste 420
Houston, TX 77017-6544
Mailing address
PO Box 890008
Houston, TX 77289-0008
Phone (713) 807-1500
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 |
|---|---|---|---|
| 16037 | TX | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpartners | Past | Accepting new patients |
Interoperability endpoints
- https://api.healthpartnersfhir.com/r4
- https://proxy.healthpartners.com/FHIRProxy/api/FHIR/R4/
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.
-
- Chiropractor
- Houston, TX
- NPI 1699838557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1114194107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 890008",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772890008",
"telephone_number": "713-807-1500",
"fax_number": "713-527-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8876 GULF FWY STE 420",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770176544",
"telephone_number": "713-807-1500",
"fax_number": "713-527-8558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKY",
"first_name": "BEATRICE",
"credential": "LBSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "16037",
"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 May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.