Individual provider Active NPI

Jan Slovacek, F.N.P.

  • Nurse Practitioner
  • Alvin, TX
National Provider Identifier
1164538427
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
629732 Issued in TX
Practice address
3128 S Highway 35
Alvin, TX 77511-4737
Phone
(281) 886-8964
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 629732 TX Primary

Addresses

Primary practice location

3128 S Highway 35
Alvin, TX 77511-4737

Mailing address

2600 FM 1764 Rd Ste 190
La Marque, TX 77568-2826
Phone (281) 886-8964

Other practice location 1

2600 Fm 1764 Rd Ste 190
LA Marque, TX 77568-2826
Phone (281) 886-8964

Other practice location 2

2808 61st St Ste 200
Galveston, TX 77551-2224
Phone (281) 886-8964

Other identifiers 6

IdentifierTypeStateIssuer
188121105MedicaidTX
1164538427OtherTXTRICARE SOUTH
188121102MedicaidTX
188121103MedicaidTX
8Y9999OtherTXBCBSTX
188121104MedicaidTX

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
I20070719000094 TX Practitioner - Nurse Practitioner 3274634456 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Emergency Physicians PLLC CurrentSince May 17, 2019 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Apr 1, 2018 Accepting new patients
St Joseph Emergency Physicians PLLC Nurse Practitioner Current Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Emergency Health Services Associates, P.a. Past Accepting new patients
Greater Houston Emergency Physicians PLLC Past Accepting new patients
Texas Em-I Medical Services, PA Nurse Practitioner Past Accepting new patients
Singleton Associates PA Nurse Practitioner Past Accepting new patients
Beaumont Emergency Medicine Associates PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

6002 Fairmont Pkwy
Pasadena, TX 77505
Phone (713) 359-2100

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Organizations & group practices 9

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164538427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 FM 1764 RD STE 190",
            "city": "LA MARQUE",
            "state": "TX",
            "postal_code": "775682826",
            "telephone_number": "281-886-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 S HIGHWAY 35",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775114737",
            "telephone_number": "281-886-8964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Fm 1764 Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "LA Marque",
            "state": "TX",
            "postal_code": "775682826",
            "country_code": "US",
            "telephone_number": "281-886-8964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2808 61st St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775512224",
            "country_code": "US",
            "telephone_number": "281-886-8964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOVACEK",
        "first_name": "JAN",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "629732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188121105",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1164538427",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188121102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188121103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8Y9999",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188121104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvin, TX

Sources for this page

Verify at the official NPI Registry.