Individual provider Active NPI

Jeannine Cecile Kouzel, FNP

  • Family Nurse Practitioner
  • Fort Sam Houston, TX
National Provider Identifier
1154425643
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
672783 Issued in TX
Practice address
2991 Garden Ave BLDG 1279
Fort Sam Houston, TX 78234-7598
Phone
(210) 295-4996
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 672783 TX Primary

Addresses

Primary practice location

2991 Garden Ave BLDG 1279
Fort Sam Houston, TX 78234-7598

Mailing address

2230 Cardigan HL
San Antonio, TX 78232-1605
Phone (210) 403-0961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
672783TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154425643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 CARDIGAN HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321605",
            "telephone_number": "210-403-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2991 GARDEN AVE BLDG 1279",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347598",
            "telephone_number": "210-295-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUZEL",
        "first_name": "JEANNINE",
        "middle_name": "CECILE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "672783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.