Individual provider Active NPI

Jennie M Volpe, PA

  • Physician Assistant
  • Corpus Christi, TX
National Provider Identifier
1245238450
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03004 Issued in TX
Practice address
3933 Up River Rd
Corpus Christi, TX 78408-3020
Phone
(361) 882-1001
Fax
(361) 882-1040
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03004 TX Primary

Addresses

Primary practice location

3933 Up River Rd
Corpus Christi, TX 78408-3020

Mailing address

3933 Up River Rd
Corpus Christi, TX 78408-3020
Phone (361) 882-1001

Other identifiers 1

IdentifierTypeStateIssuer
156989901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA03004TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Humpal Physical Therapy, P.C. Past Accepting new patients
Jorge Zamora-Quezada MD MPH PA Past Accepting new patients
Thomas B. Chodosh, D.O., P.a. PastSince Jan 1, 2004 Accepting new patients

Organizations & group practices 3

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1245238450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 UP RIVER RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784083020",
            "telephone_number": "361-882-1001",
            "fax_number": "361-882-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3933 UP RIVER RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784083020",
            "telephone_number": "361-882-1001",
            "fax_number": "361-882-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLPE",
        "first_name": "JENNIE",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156989901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.