Individual provider Active NPI

Jennifer Delabra

  • Family Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1295212074
Registry record updated Jul 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136809 Issued in TX
Practice address
19701 Kingwood Dr Ste a
Kingwood, TX 77339-3773
Phone
(281) 319-4700
NPI assigned
Jul 24, 2018
Last updated
Jul 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP136809 TX
Family Nurse Practitioner 363LF0000X AP136809 TX Primary

Addresses

Primary practice location

19701 Kingwood Dr Ste a
Kingwood, TX 77339-3773

Mailing address

19701 Kingwood Drive
BLG 4 Ste a
Kingwood, TX 77339-3773
Phone (281) 319-4700

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
I20190812002249 TX Practitioner - Nurse Practitioner 4284961319 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians
Prashanth R Palwai, MD PAGroup PAC ID 7911915814, 3 clinicians

Practice addresses (Care Compare)

155 School St
Suite 300
Tomball, TX 77375-5386
Phone (281) 255-3838

19701 Kingwood Dr
Suite a
Kingwood, TX 77339-3773
Phone (281) 319-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.98 of 100Reported as individual
Quality
60.15
Promoting interoperability
63
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP136809TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villagemd of Southeast Texas, PA Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Village Family Practice, L.L.P CurrentSince Aug 1, 2025 Accepting new patients
Prashanth R Palwai, MD PA CurrentSince Jun 1, 2019 Accepting new patients

Locations

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

19701 Kingwood Dr
Bldg 4
Kingwood, TX 77339
Phone (281) 319-4700

920 Medical Plaza Dr
Ste 350
Shenandoah, TX 77380
Phone (281) 296-0669

155 School St
Ste 300
Tomball, TX 77375
Phone (281) 255-3838

425 Holderrieth Blvd
Ste 108
Tomball, TX 77375
Phone (281) 319-4700

Interoperability endpoints

  • Direct secure messaging: jennifer.delabra.1@13711.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563667200000",
    "number": "1295212074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DRIVE",
            "address_2": "BLG 4 STE A",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393773",
            "telephone_number": "281-319-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR STE A",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393773",
            "telephone_number": "281-319-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELABRA",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2019-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP136809",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.