Organization Active NPI

Activate Family Health, PLLC

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1285235929
Registry record updated Nov 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ACTIVATE FAMILY HEALTH, PLLC
Practice address
203 E Davis St Ste F-1026
Conroe, TX 77301-3159
Phone
(936) 647-5380
Fax
(936) 703-5900
NPI assigned
Nov 7, 2020
Last updated
Nov 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2020

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

Authorized official

Name
Jennifer Hopson, APRN, FNP-C
Title
Nurse Practitioner
Phone
(936) 647-5380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

203 E Davis St Ste F-1026
Conroe, TX 77301-3159

Mailing address

203 E Davis St Ste F-1026
Conroe, TX 77301-3159
Phone (936) 647-5380

National Provider Directory

National Provider Directory

Locations

203 E Davis St
Ste F1026
Conroe, TX 77301
Phone (936) 647-5380

14001 Walden Rd
Ste 500
Montgomery, TX 77356
Phone (936) 220-2021

NPI Registry JSON

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604707200000",
    "number": "1285235929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E DAVIS ST STE F-1026",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773013159",
            "telephone_number": "936-647-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E DAVIS ST STE F-1026",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773013159",
            "telephone_number": "936-647-5380",
            "fax_number": "936-703-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVATE FAMILY HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-07",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A",
        "authorized_official_last_name": "HOPSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "936-647-5380",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; 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.