Jeliane Amelia Vazquez

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1099283 Issued in TX

Practice address

19333 Highway 59 N Ste 145
Humble, TX 77338-4272

Phone

(281) 947-6934

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jvazquez66999@memorialhermann.direct-ci.com

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.

• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment NPD
• Khan & Mujeeb Urgent Care Group

  • Urgent Care Clinic/Center
  • Baytown, TX
  • NPI 1629305446
  Medicare reassignment NPD
• Khan & Mujeeb Urgent Care Group No 2

  • Urgent Care Clinic/Center
  • Crosby, TX
  • NPI 1356772719
  Medicare reassignment NPD
• Khan and Mujeeb PLLC

  • Primary Care Clinic/Center
  • Baytown, TX
  • NPI 1750618070
  Medicare reassignment NPD
• Munoz Pediatrics (Dba) Weekare Pediatrics

  • Pediatrics Physician
  • Humble, TX
  • NPI 1093878506
  NPD (past)

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1265166722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 PALOS VERDES DR",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042418",
            "telephone_number": "832-603-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 HIGHWAY 59 N STE 145",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384272",
            "telephone_number": "281-947-6934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4202 Palos Verdes Dr",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775042418",
            "country_code": "US",
            "telephone_number": "832-603-9399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JELIANE",
        "middle_name": "AMELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1099283",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1099283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jagalvez@houstonmethodist.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4202 palos verdes",
            "city": "pasadena",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kadar Julius Vannoy, MD
• Karen Ham Vargas, LPC
• Jean M Varsos, MA, LPC, LMFT
• Keith D Vassallo, MD
• Kristen Vaughn
• Susana Vazquez
• Yesenia Vazquez
• Vcphcs Xvi, LLC
• Leandro Ernesto Velazquez
• Ravinder Bala Krishnan Vellore

• Pediatric Nurse Practitioner in Humble, TX
• Providers in Humble, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.

Verify at the official NPI Registry.