Individual provider Active NPI

Ladyjoan Box, NP

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1134563083
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
765352 Issued in TX
Practice address
21309 Foster Rd
Ste 100
Spring, TX 77388
Phone
(281) 587-1700
Fax
(281) 907-6003
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 765352 TX Primary

Addresses

Primary practice location

21309 Foster Rd
Ste 100
Spring, TX 77388

Mailing address

21309 Foster Rd
Ste 100
Spring, TX 77388-4209
Phone (281) 587-1700

Other practice location 1

17350 St Lukes Way Ste 430
The Woodlands, TX 77384-4103
Phone (281) 587-1700

Other identifiers 1

IdentifierTypeStateIssuer
765352OtherTXTEXAS BOARD OF NURSING - NURSE PRACTITIONER LICENSE

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
I20130906000291 TX Practitioner - Nurse Practitioner 9830332030 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
765352TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ikp Family Medicine, P.a. CurrentSince May 7, 2013 Accepting new patients
Ikp Family Medicine P.a. CurrentSince May 7, 2013 Accepting new patients

Locations

11026 Highway 242
Conroe, TX 77385
Phone (281) 587-1700

21309 Foster Rd
#100
Spring, TX 77388
Phone (281) 587-1700

17350 St Lukes Way
Ste 430
The Woodlands, TX 77384
Phone (281) 587-1700

Organizations & group practices 2

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1134563083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21309 FOSTER RD",
            "address_2": "STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884209",
            "telephone_number": "281-587-1700",
            "fax_number": "281-907-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21309 FOSTER RD",
            "address_2": "STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77388",
            "telephone_number": "281-587-1700",
            "fax_number": "281-907-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17350 St Lukes Way Ste 430",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773844103",
            "country_code": "US",
            "telephone_number": "281-587-1700",
            "fax_number": "281-907-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOX",
        "first_name": "LADYJOAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "765352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING - NURSE PRACTITIONER LICENSE",
            "identifier": "765352",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.