Individual provider Active NPI

Allison Jaggard, NP-C

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1285031468
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP126998 Issued in TX
Practice address
1708 Spring Green Blvd Ste 120-109
Katy, TX 77494-7462
Phone
(346) 608-5154
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0035152 OH
Family Nurse Practitioner 363LF0000X 95020539 CA
Family Nurse Practitioner 363LF0000X 202203866 OR
Family Nurse Practitioner 363LF0000X 26NJ14840100 NJ
Family Nurse Practitioner 363LF0000X 61268937 WA
Family Nurse Practitioner 363LF0000X 12663 CT
Family Nurse Practitioner 363LF0000X AP126998 TX Primary
Family Nurse Practitioner 363LF0000X 282916 AZ

Addresses

Primary practice location

1708 Spring Green Blvd Ste 120-109
Katy, TX 77494-7462

Mailing address

1708 Spring Green Blvd Ste 120-109
Katy, TX 77494-7462
Phone (346) 608-5154

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151103001462 TX Practitioner - Nurse Practitioner 0840500823 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
282916AZMDFamily Nurse Practitioner
95020539CAMDFamily Nurse Practitioner
26NJ14840100NJMDFamily Nurse Practitioner
0035152OHMDFamily Nurse Practitioner
202203866ORMDFamily Nurse Practitioner
61268937WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Nov 1, 2015 Accepting new patients
Ut Physicians CurrentSince Nov 1, 2015 Accepting new patients

Locations

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

5656 Kelley St
Ste 3OS62008
Houston, TX 77026
Phone (713) 566-5098

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.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1285031468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 SPRING GREEN BLVD STE 120-109",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947462",
            "telephone_number": "346-608-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 SPRING GREEN BLVD STE 120-109",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947462",
            "telephone_number": "346-608-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGGARD",
        "first_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0035152",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020539",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202203866",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14840100",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "61268937",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12663",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126998",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "282916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.