Individual provider Active NPI

Jennifer Barrera

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1295159531
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09123 Issued in TX
Practice address
7001 Corporate Dr Ste 120
Houston, TX 77036-5113
Phone
(713) 773-0803
Fax
(713) 271-5422
NPI assigned
Feb 6, 2014
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X PA09123 TX Primary

Addresses

Primary practice location

7001 Corporate Dr Ste 120
Houston, TX 77036-5113

Mailing address

7001 Corporate Dr Ste 120
Houston, TX 77036-5113
Phone (713) 773-0803

Other practice location 1

6701 Fannin St
Houston, TX 77030-2608
Phone (832) 824-1000

Other practice location 2

3000 Aldine Mail Route Rd
Building C, Suite 200
Houston, TX 77039
Phone (713) 773-0803

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
I20190807004044 TX Practitioner - Physician Assistant 3476810052 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation CurrentSince Oct 15, 2017 Accepting new patients
Public Health Management Corporation CurrentSince Oct 15, 2017 Accepting new patients
Texas Children's Hospital Past Accepting new patients

Locations

125 S 9th St
Philadelphia, PA 19107
Phone (215) 592-4500

1500 Market St
Ste LM500
Philadelphia, PA 19102
Phone (215) 731-6150

412 W Lehigh Ave
Philadelphia, PA 19133
Phone (215) 425-0124

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

Interoperability endpoints

  • Direct secure messaging: jenniferbarrera@nncc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1295159531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 CORPORATE DR STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770365113",
            "telephone_number": "713-773-0803",
            "fax_number": "713-271-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 CORPORATE DR STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770365113",
            "telephone_number": "713-773-0803",
            "fax_number": "713-271-5422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302608",
            "country_code": "US",
            "telephone_number": "832-824-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Aldine Mail Route Rd",
            "address_2": "Building C, Suite 200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77039",
            "country_code": "US",
            "telephone_number": "713-773-0803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.