Active NPI
Jennifer M Meaders, APRN
- Nurse Practitioner
- Brenham, TX
National Provider Identifier
1265701841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP121248
- 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
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 |
|---|---|---|---|---|
| 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
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP121248 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derm Surgery Associates P.a. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Dermatology Physician
- Bellaire, TX
- NPI 1023165438
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.