Individual provider Active NPI

Jerome Amado, RN

  • Registered Nurse
  • Fulshear, TX
National Provider Identifier
1245980226
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
732101 Issued in TX
Practice address
27415 Grayson Gap CT
Fulshear, TX 77441-2087
Phone
(832) 451-6713
Fax
(281) 396-4705
NPI assigned
Mar 24, 2022
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 732101 TX Primary

Addresses

Primary practice location

27415 Grayson Gap CT
Fulshear, TX 77441-2087

Mailing address

27415 Grayson Gap CT
Fulshear, TX 77441-2087
Phone (832) 451-6713

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
732101TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Eastex Infusion Services LLC CurrentSince Mar 27, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1245980226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27415 GRAYSON GAP CT",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774412087",
            "telephone_number": "832-451-6713",
            "fax_number": "281-396-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27415 GRAYSON GAP CT",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774412087",
            "telephone_number": "832-451-6713",
            "fax_number": "281-396-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADO",
        "first_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "732101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.