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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2157202 | Hooked on Health Family Practice | Certificate of waiver | Oct 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Hemphill, TX
- NPI 1891081428
-
- Nurse Practitioner
- Orange, TX
- NPI 1548219876
-
- Family Nurse Practitioner
- Jasper, TX
- NPI 1336891449
-
- Family Nurse Practitioner
- Jasper, TX
- NPI 1285471870
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.