Active NPI
Nicole Michelle Jamison, MD
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1235305699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N5128
- Practice address
- 929 Gessner Rd
Suite 2450
Houston, TX 77024-2515 - Phone
- (713) 464-9939
- Fax
- (713) 464-9942
- NPI assigned
- May 6, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N5128 | TX | Primary |
Addresses
Primary practice location
929 Gessner Rd
Suite 2450
Houston, TX 77024-2515
Mailing address
929 Gessner Rd
Suite 2450
Houston, TX 77024-2515
Phone (713) 464-9939
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100512001081 | TX | Practitioner - Internal Medicine | 9739237884 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N5128 | TX | MD | Internal Medicine Physician |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Vitas Healthcare of Texas, LP | Hospice | W-2 Managing Employee | Feb 1, 2017 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1659410850
W-2 Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1235305699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 GESSNER RD",
"address_2": "SUITE 2450",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242515",
"telephone_number": "713-464-9939",
"fax_number": "713-464-9942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 GESSNER RD",
"address_2": "SUITE 2450",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242515",
"telephone_number": "713-464-9939",
"fax_number": "713-464-9942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMISON",
"first_name": "NICOLE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-06",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N5128",
"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 Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.