Active NPI
Jenny Ilene Haggard, ACNP,FNP
- Acute Care Nurse Practitioner
- Baytown, TX
National Provider Identifier
1285616664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 251223
- Practice address
- 4201 Garth Rd
Emergency Room
Baytown, TX 77521-3167 - Phone
- (281) 420-8888
- NPI assigned
- Nov 18, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 251223 | TX | Primary |
Addresses
Primary practice location
4201 Garth Rd
Emergency Room
Baytown, TX 77521-3167
Mailing address
3043 Gessner Rd
Houston, TX 77080
Phone (713) 202-1544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042493904 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Jacinto Medical Group | Past | Accepting new patients | |
| Pioneer Emergency Medicine Associates PA | Past | Accepting new patients | |
| San Jacinto Family Practice Education Foundation | Past | Accepting new patients | |
| Jefferson Emergency Medicine Associates PA | Past | Accepting new patients |
Organizations & group practices 4
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 Physician
- Beaumont, TX
- NPI 1497966949
-
- Emergency Medicine Physician
- Port Arthur, TX
- NPI 1780886150
-
- Family Medicine Physician
- Baytown, TX
- NPI 1902851728
-
- Family Medicine Physician
- Baytown, TX
- NPI 1962456897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1285616664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3043 GESSNER RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77080",
"telephone_number": "713-202-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 GARTH RD",
"address_2": "EMERGENCY ROOM",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775213167",
"telephone_number": "281-420-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGARD",
"first_name": "JENNY",
"middle_name": "ILENE",
"credential": "ACNP,FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "251223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042493904",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.