Active NPI
Jennifer Sorrelle-Ferguson, NNP
- Critical Care Neonatal Nurse Practitioner
- Houston, TX
National Provider Identifier
1245600154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- AP125598
- Practice address
- 929 Gessner Rd
Houston, TX 77024 - Phone
- (602) 476-8961
- Fax
- (623) 643-9236
- NPI assigned
- Oct 5, 2015
- 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 |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | AP | TX | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | AP125598 | TX | Primary |
Addresses
Primary practice location
929 Gessner Rd
Houston, TX 77024
Mailing address
929 Gessner
Memorial Herman Tower 4TH Floor Neonatology
Houston, TX 77024
Other practice location 1
5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (954) 837-5773
Other practice location 2
6621 Fannin St
Houston, TX 77030-2399
Phone (832) 824-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245600154 | Medicaid | AZ |
Other names 1
- Jennifer Sorrelle
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP | TX | MD | Neonatal Intensive Care Registered Nurse |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1245600154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 GESSNER",
"address_2": "MEMORIAL HERMAN TOWER 4TH FLOOR NEONATOLOGY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 GESSNER RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77024",
"telephone_number": "602-476-8961",
"fax_number": "623-643-9236"
}
],
"practiceLocations": [
{
"address_1": "5555 W Thunderbird Rd",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853064622",
"country_code": "US",
"telephone_number": "954-837-5773",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6621 Fannin St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302399",
"country_code": "US",
"telephone_number": "832-824-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SORRELLE-FERGUSON",
"first_name": "JENNIFER",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-05",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "TX",
"license": "AP",
"primary": false
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "TX",
"license": "AP125598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245600154",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "SORRELLE",
"code": "2",
"type": "Professional Name"
}
]
}
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 Aug 24, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.