Individual provider Active NPI

Jermetrice Nicole Alford, CTRS, LMT

  • Recreation Therapist
  • Houston, TX
National Provider Identifier
1184155178
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
License
54906 Issued in TX
Practice address
12801 Roydon Dr
Apt #818
Houston, TX 77034
Phone
(832) 641-8660
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 120766 TX
Recreation Therapist 225800000X 54906 TX Primary

Addresses

Primary practice location

12801 Roydon Dr
Apt #818
Houston, TX 77034

Mailing address

12801 Roydon Dr
Apt #818
Houston, TX 77034
Phone (832) 641-8660

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
54906TXMDPharmacist
120766TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1184155178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 ROYDON DR",
            "address_2": "APT #818",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77034",
            "telephone_number": "832-641-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 ROYDON DR",
            "address_2": "APT #818",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77034",
            "telephone_number": "832-641-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFORD",
        "first_name": "JERMETRICE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "CTRS, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "120766",
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "TX",
            "license": "54906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.