Active NPI
Homegrown Healthcare PLLC
- Family Nurse Practitioner
- Lake Jackson, TX
National Provider Identifier
1225815343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- HOMEGROWN HEALTHCARE PLLC
- Practice address
- 207 That Way St Ste C
Lake Jackson, TX 77566-5211 - Phone
- (979) 614-0115
- NPI assigned
- Sep 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Casey Atkins
- Title
- Office Manager
- Phone
- (979) 239-8772
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
207 That Way St Ste C
Lake Jackson, TX 77566-5211
Mailing address
207 That Way St Ste C
Lake Jackson, TX 77566-5211
Phone (979) 614-0115
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699228800000",
"number": "1225815343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 THAT WAY ST STE C",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665211",
"telephone_number": "979-614-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 THAT WAY ST STE C",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665211",
"telephone_number": "979-614-0115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMEGROWN HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-12",
"last_updated": "2023-11-06",
"certification_date": "2023-09-13",
"status": "A",
"authorized_official_last_name": "ATKINS",
"authorized_official_first_name": "CASEY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "979-239-8772"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.