Active NPI
Jennifer Variste, M.D.
- Pediatrics Physician
- College Station, TX
National Provider Identifier
1255687042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P8822
- Practice address
- 1651 Rock Prairie Rd
Suite 102
College Station, TX 77845-8652 - Phone
- (979) 693-7400
- Fax
- (979) 693-7446
- NPI assigned
- Jul 30, 2012
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P8822 | TX | Primary |
Addresses
Primary practice location
1651 Rock Prairie Rd
Suite 102
College Station, TX 77845-8652
Mailing address
1500 University Dr E Ste 100
College Station, TX 77840-2600
Phone (979) 846-1100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67-1861 | Other | TX | MEDICARE FACILITY NUMBER |
| 1275726853 | Other | TX | FACILITY NPI |
| 1878423-01 | Other | TX | FACILITY TPI |
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 |
|---|---|---|---|---|
| I20140822002427 | TX | Order and Referring Only - Pediatric Medicine | 8426276031 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TCH Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
| TCH Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1225038326
-
- Pediatrics Physician
- Sugar Land, TX
- NPI 1861492654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410134400000",
"number": "1255687042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 UNIVERSITY DR E STE 100",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778402600",
"telephone_number": "979-846-1100",
"fax_number": "979-260-9390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 ROCK PRAIRIE RD",
"address_2": "SUITE 102",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778458652",
"telephone_number": "979-693-7400",
"fax_number": "979-693-7446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARISTE",
"first_name": "JENNIFER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-30",
"last_updated": "2014-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P8822",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE FACILITY NUMBER",
"identifier": "67-1861",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY NPI",
"identifier": "1275726853",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY TPI",
"identifier": "1878423-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.