Active NPI
Joslyn Julia Fairwell
- Physician Assistant
- Dickinson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA16055
- Practice address
- 676 Farm to Market 517 W
Dickinson, TX 77539 - Phone
- (713) 482-4535
- NPI assigned
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PENDING | TX | |
| Physician Assistant | 363A00000X | PA16055 | TX | Primary |
Addresses
Primary practice location
676 Farm to Market 517 W
Dickinson, TX 77539
Mailing address
12325 Shadow Creek Pkwy Apt 15107
Pearland, TX 77584-7377
Phone (208) 690-1328
Other names 1
- Joslyn Julia Fairwell
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
646 FM 517 Rd W
Dickinson, TX 77539-3904
Phone (281) 218-7200
676 FM 517 Rd W
Dickinson, TX 77539-3904
Phone (713) 482-4535
7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500
Hospital & facility affiliations
- Memorial Hermann Hospital System
- HCA Houston Healthcare Clear Lake
- University of Texas Medical Branch Galveston
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | TX | MD | Medical Oncology Physician |
| PA16055 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Gulf Coast PLLC | Current | Accepting new patients | |
| Privia Medical Group Gulf Coast, PLLC | Current | Accepting new patients |
Locations
646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001
676 FM 517 Rd W
Dickinson, TX 77539
Phone (713) 335-9571
7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027
1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027
10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500
17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820
Interoperability endpoints
- joslyn.fairwell.1@8042.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Houston, TX
- NPI 1578969465
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1457167033
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Webster, TX
- NPI 1063466035
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1225765720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12325 SHADOW CREEK PKWY APT 15107",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847377",
"telephone_number": "208-690-1328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 FARM TO MARKET 517 W",
"city": "DICKINSON",
"state": "TX",
"postal_code": "77539",
"telephone_number": "713-482-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRWELL",
"first_name": "JOSLYN",
"middle_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-04",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PENDING",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA16055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSLYN",
"last_name": "FAIRWELL",
"middle_name": "JULIA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dickinson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.