Individual provider Active NPI

Jennifer M Purdy, NP-C

  • Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1215446760
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP141802 Issued in TX
Practice address
5802 Saratoga Blvd Ste 200
Corpus Christi, TX 78414-4252
Phone
(361) 986-4600
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024175413 VA
Family Nurse Practitioner 363LF0000X 0024175413 VA
Family Nurse Practitioner 363LF0000X AP141802 TX
Nurse Practitioner 363L00000X AP141802 TX Primary

Addresses

Primary practice location

5802 Saratoga Blvd Ste 200
Corpus Christi, TX 78414-4252

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 606-6400

Other practice location 1

19455 Deerfield Ave Ste 206
Leesburg, VA 20176-8102
Phone (703) 858-9608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180109000832 VA Practitioner - Nurse Practitioner 3375534548 Reassigns benefits to 1 organization
I20180709001161 DC Practitioner - Nurse Practitioner 3375534548 Reassigns benefits to 1 organization
I20210915001264 TX Practitioner - Nurse Practitioner 3375534548 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Gulf Coast Physician Services, PLLCGroup PAC ID 7214388826, 104 clinicians

Practice addresses (Care Compare)

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP141802TXMDNurse Practitioner
0024175413VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Nov 21, 2022 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince May 1, 2018 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 21, 2022 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince May 1, 2018 Accepting new patients
Valley Physician Enterprise, Inc Current Accepting new patients
Gulf Coast Physician Services, PLLC Nurse Practitioner CurrentSince Dec 10, 2023 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Nurse Practitioner CurrentSince Oct 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Nurse Practitioner CurrentSince Apr 1, 2023 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Oct 1, 2021 Accepting new patients

Locations

600 Elizabeth St
Bldg B
Corpus Christi, TX 78404
Phone (361) 215-9278

5802 Saratoga Blvd
Ste 200
Corpus Christi, TX 78414
Phone (361) 696-6200

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

7121 Spid Dr
Ste 112
Corpus Christi, TX 78412
Phone (361) 299-0250

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

8902 Floyd Curl Dr
San Antonio, TX 78240
Phone (210) 575-8003

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

190 Campus Blvd
Ste 201
Winchester, VA 22601
Phone (540) 536-5980

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • Direct secure messaging: jpurdy295873@christushealth.direct-ci.net

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1215446760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-606-6400",
            "fax_number": "903-606-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 SARATOGA BLVD STE 200",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144252",
            "telephone_number": "361-986-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19455 Deerfield Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201768102",
            "country_code": "US",
            "telephone_number": "703-858-9608",
            "fax_number": "703-858-9618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURDY",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175413",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175413",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141802",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP141802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.