Organization Active NPI

Hooked on Health Family Practice PLLC

Doing business as Hooked on Health Family Practice

  • Family Medicine Physician
  • Jasper, TX
National Provider Identifier
1295200228
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOOKED ON HEALTH FAMILY PRACTICE PLLC
Doing business as
Hooked on Health Family Practice
Practice address
494 Springhill St Ste 200
Jasper, TX 75951-5053
Phone
(409) 489-4864
Fax
(409) 489-4868
NPI assigned
Oct 5, 2018
Last updated
Jan 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Jacklyn Robinson
Title
Practice Manager
Phone
(409) 550-4198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

494 Springhill St Ste 200
Jasper, TX 75951-5053

Mailing address

494 Springhill St Ste 200
Jasper, TX 75951-5053

Other names 1

  • Hooked on Health Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190709002625 TX Part B Supplier - Clinic/Group Practice 4587999818 Receives reassigned benefits from 4 practitioners
Practice locations: Jasper, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2157202Hooked on Health Family Practice494 Springhill St Ste 200, Jasper, TX 75951Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1295200228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 SPRINGHILL ST STE 200",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759515053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 SPRINGHILL ST STE 200",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759515053",
            "telephone_number": "409-489-4864",
            "fax_number": "409-489-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOKED ON HEALTH FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "409-550-4198"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hooked on Health Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hooked on Health Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.