Individual provider Active NPI

Jean-Marie Toussom

  • Home Health Registered Nurse
  • College Station, TX
National Provider Identifier
1124594213
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
131205 Issued in OK
Practice address
4030 Highway 6 S Ste 150
College Station, TX 77845-1808
Phone
(979) 431-3380
NPI assigned
Oct 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 131205 OK Primary

Addresses

Primary practice location

4030 Highway 6 S Ste 150
College Station, TX 77845-1808

Mailing address

2475 S Chappell Hill St Apt 1003
Brenham, TX 77833-6124
Phone (979) 661-0209

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

LicenseStateTypeSpecialty
131205OKMDHome Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1124594213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 S CHAPPELL HILL ST APT 1003",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778336124",
            "telephone_number": "979-661-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 HIGHWAY 6 S STE 150",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778451808",
            "telephone_number": "979-431-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUSSOM",
        "first_name": "JEAN-MARIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OK",
            "license": "131205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.