Individual provider Active NPI

Juah Nimene, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1346830114
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0100130 Issued in CO
Practice address
15015 Westheimer Pkwy Ste 1-2
Houston, TX 77082-1676
Phone
(347) 378-7974
Fax
(888) 375-3511
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1020139 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0100130 CO Primary

Addresses

Primary practice location

15015 Westheimer Pkwy Ste 1-2
Houston, TX 77082-1676

Mailing address

PO Box 940604
Houston, TX 77094-7604
Phone (281) 815-3153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220527001199 TX Practitioner - Nurse Practitioner 6709264039 Reassigns benefits to 3 organizations
I20231104000808 CO Practitioner - Nurse Practitioner 6709264039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Specialty Clinic Medical Group PLLCGroup PAC ID 4082017512, 14 clinicians

Practice addresses (Care Compare)

2217 Park Bend Dr
Austin, TX 78758-5072
Phone (916) 746-2343

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0100130COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado West Psychiatric Hospital, Inc. CurrentSince Jun 27, 2023 Accepting new patients
Specialty Clinic Medical Group, PLLC CurrentSince Jul 7, 2025 Accepting new patients
Sparks Psychiatry PLLC Psychiatric/Mental Health CurrentSince Apr 1, 2022 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 15, 2022 Accepting new patients
Colorado West Psychiatric Hospital, Inc. Psychiatric/Mental Health Past Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2217 Park Bend Dr
Austin, TX 78758
Phone (916) 746-2343

2217 Park Bend Dr
Ste 300
Austin, TX 78758
Phone (512) 382-1933

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

3 Sugar Creek Center Blvd
Ste 100
Sugar Land, TX 77478
Phone (713) 227-7275

Interoperability endpoints

  • Direct secure messaging: telemed2u.juahnimene@160918.advancedmd-direct.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1346830114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940604",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770947604",
            "telephone_number": "281-815-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15015 WESTHEIMER PKWY STE 1-2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770821676",
            "telephone_number": "347-378-7974",
            "fax_number": "888-375-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMENE",
        "first_name": "JUAH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1020139",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0100130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.