Individual provider Active NPI

Jasmine McNealy, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pearland, TX
National Provider Identifier
1174345227
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1178115 Issued in TX
Practice address
12234 Shadow Creek Pkwy Ste 4104
Pearland, TX 77584-7333
Phone
(713) 429-5325
NPI assigned
Oct 29, 2024
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1178115 TX Primary

Addresses

Primary practice location

12234 Shadow Creek Pkwy Ste 4104
Pearland, TX 77584-7333

Mailing address

12234 Shadow Creek Pkwy Ste 104
Pearland, TX 77584-7330

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
I20241230002449 TX Practitioner - Nurse Practitioner 1153858337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Behavioral Health PLLCGroup PAC ID 3971890948, 46 clinicians

Practice addresses (Care Compare)

12234 Shadow Creek Pkwy
Pearland, TX 77584-7330
Phone (713) 429-5325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1178115TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Psychiatry Institute, LLC CurrentSince Nov 1, 2024 Accepting new patients
Texas Behavioral Health PLLC CurrentSince Nov 1, 2024 Accepting new patients
Kairos Medical LLC PastSince Nov 1, 2024 Accepting new patients

Locations

104 Whispering Pines Ave
Friendswood, TX 77546
Phone (281) 819-1438

106 Whispering Pines Ave
Ste 103
Friendswood, TX 77546
Phone (281) 868-5440

3407 Spencer Hwy
Ste 200
Pasadena, TX 77504
Phone (281) 766-3920

12234 Shadow Creek Pkwy
Bldg 4
Pearland, TX 77584
Phone (281) 668-8822

12234 Shadow Creek Pkwy
Ste 104
Pearland, TX 77584
Phone (713) 429-5232

3531 Town Center Blvd S
Ste 102
Sugar Land, TX 77479
Phone (281) 819-1438

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBFAD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1174345227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY STE 104",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY STE 4104",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847333",
            "telephone_number": "713-429-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEALY",
        "first_name": "JASMINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1178115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.