Individual provider Active NPI

Jaram Lim, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1235893736
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1032879 Issued in TX
Practice address
12586 Westheimer Rd
Houston, TX 77077-5865
Phone
(713) 804-5963
NPI assigned
Oct 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1032879 TX Primary
Registered Nurse 163W00000X 872923 TX

Addresses

Primary practice location

12586 Westheimer Rd
Houston, TX 77077-5865

Mailing address

11511 Shadow Creek Pkwy
Pearland, TX 77584-7298
Phone (713) 442-0000

Other practice location 1

9110 Katy Freeway
Houston, TX 77055
Phone (713) 442-6900

Other practice location 2

13114 Fm 1960 Rd W
Houston, TX 77065-4290
Phone (713) 442-8800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211122002140 TX Practitioner - Nurse Practitioner 8123417649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelsey-Seybold Medical Group, PLLCGroup PAC ID 9739093527, 941 clinicians

Practice addresses (Care Compare)

9110 Katy Fwy
Houston, TX 77055-7407
Phone (713) 442-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
872923TXMDRegistered Nurse
1032879TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group CurrentSince Nov 14, 2022 Accepting new patients
Kelsey-Seybold Medical Group, PLLC CurrentSince Aug 26, 2024 Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

13114 FM 1960 Rd W
Ste 200
Houston, TX 77065
Phone (281) 890-6446

9110 Katy Fwy
Houston, TX 77055
Phone (713) 442-3800

13114 FM 1960 Rd W
Houston, TX 77065
Phone (281) 897-1701

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

19926 Northwest Fwy
Jersey Village, TX 77065
Phone (346) 674-2500

201 Enterprise Ave
Ste 900
League City, TX 77573
Phone (713) 442-2826

7010 Highway 6
Missouri City, TX 77459
Phone (713) 442-4200

11511 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 442-4997

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

2515 Business Center Dr
Pearland, TX 77584
Phone (713) 442-7200

Interoperability endpoints

  • Direct secure messaging: jlim25668@innovista.gardenplot.direct-ci.com
  • Direct secure messaging: jlim85559@direct.kelsey-seybold.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.

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1235893736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12586 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775865",
            "telephone_number": "713-804-5963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9110 Katy Freeway",
            "address_purpose": "LOCATION",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77055",
            "country_code": "US",
            "telephone_number": "713-442-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13114 Fm 1960 Rd W",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770654290",
            "country_code": "US",
            "telephone_number": "713-442-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "JARAM",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1032879",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "872923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.