Individual provider Active NPI

Jennifer M Meaders, APRN

  • Nurse Practitioner
  • Brenham, TX
National Provider Identifier
1265701841
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP121248 Issued in TX
Practice address
1910 Niebuhr St
Brenham, TX 77833-5037
Phone
(979) 353-4267
Fax
(979) 836-5863
NPI assigned
Dec 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP121248 TX
Nurse Practitioner 363L00000X AP121248 TX Primary

Addresses

Primary practice location

1910 Niebuhr St
Brenham, TX 77833-5037

Mailing address

403 Gerland Wagner Rd
Carmine, TX 78932-5235
Phone (832) 741-4271

Other practice location 1

5808 Wagner Rd
Round Top, TX 78954-5075
Phone (713) 429-0467 ext. 820

Other names 1

  • Jennifer M Woodward Former name

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
AP121248TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Surgery Associates P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jenniferm@dermsurgery.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1265701841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 GERLAND WAGNER RD",
            "city": "CARMINE",
            "state": "TX",
            "postal_code": "789325235",
            "telephone_number": "832-741-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 NIEBUHR ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335037",
            "telephone_number": "979-353-4267",
            "fax_number": "979-836-5863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5808 Wagner Rd",
            "address_purpose": "LOCATION",
            "city": "Round Top",
            "state": "TX",
            "postal_code": "789545075",
            "country_code": "US",
            "telephone_number": "713-429-0467 x820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADERS",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP121248",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP121248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WOODWARD",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.