Active NPI
Jeanette H Tifre, REGISTERED NURSE
- Health & Wellness Coach
- Friendswood, TX
National Provider Identifier
1386325918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- 61235924870410
- Practice address
- 2911 El Dorado Blvd
Friendswood, TX 77546-5737 - Phone
- (281) 636-9209
- NPI assigned
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 647087 | TX | |
| Community Health Worker | 172V00000X | |||
| Health & Wellness Coach | 171400000X | 61235924870410 | TX | Primary |
Addresses
Primary practice location
2911 El Dorado Blvd
Friendswood, TX 77546-5737
Mailing address
2911 El Dorado Blvd
Friendswood, TX 77546-5737
Phone (281) 636-9209
Electronic endpoints 6
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jay@timeinfuture.com | Health Information Exchange (HIE) | Clear Lake Specialties PA |
| Direct Messaging Address | jay@timeinfuture.com | Health Information Exchange (HIE) | AMERIGROUP Texas, Inc. |
| Direct Messaging Address | jay@timeinfuture.com | Health Information Exchange (HIE) | Texas United Healthcare |
| Direct Messaging Address | jay@timeinfuture.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | jay@timeinfuture.com | Health Information Exchange (HIE) | Anthem Insurance Companies, Inc. |
| Direct Messaging Address | jay@timeinfuture.com | Health Information Exchange (HIE) | Village Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61235924870410 | TX | MD | Health & Wellness Coach |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Time in Future, LLC | Current | Accepting new patients | |
| Time in Future | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Health Maintenance Organization
- Friendswood, TX
- NPI 1689441156
-
- Health Maintenance Organization
- Friendswood, TX
- NPI 1093597106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1386325918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 EL DORADO BLVD",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775465737",
"telephone_number": "281-636-9209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 EL DORADO BLVD",
"city": "FRIENDSWOOD",
"state": "TX",
"postal_code": "775465737",
"telephone_number": "281-636-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIFRE",
"first_name": "JEANETTE",
"middle_name": "H",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "647087",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "TX",
"license": "61235924870410",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jay@timeinfuture.com",
"affiliation": "Y",
"endpointDescription": "business email address",
"affiliationName": "Clear Lake Specialties PA",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Patient Medical History, lab Results, Plan of Care, Current Prognosis",
"address_1": "500 N Kobayashi",
"address_2": "SUITE A",
"city": "Webster",
"state": "TX",
"country_code": "US",
"postal_code": "775984820",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jay@timeinfuture.com",
"affiliation": "Y",
"endpointDescription": "business email address",
"affiliationName": "AMERIGROUP Texas, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Insurance Coverage, Insurance ID, Insurance Claim",
"address_1": "1200 E Copeland Rd",
"address_2": "Suite 200",
"city": "Arlington",
"state": "TX",
"country_code": "US",
"postal_code": "760111344",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jay@timeinfuture.com",
"affiliation": "Y",
"endpointDescription": "business email address",
"affiliationName": "Texas United Healthcare",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Insurance Claims, Treatment Claims , Insurance Information",
"address_1": "8303 Southwest Fwy",
"address_2": "Ste 495",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770741600",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jay@timeinfuture.com",
"affiliation": "N",
"endpointDescription": "Business Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "patient medical history, lab results, plan of care,diagnosis",
"address_1": "2911 El Dorado Blvd",
"city": "Friendswood",
"state": "TX",
"country_code": "US",
"postal_code": "775465737",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jay@timeinfuture.com",
"affiliation": "Y",
"endpointDescription": "business email address",
"affiliationName": "Anthem Insurance Companies, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Insurance Provider, Treatment Claim Submission",
"address_1": "220 Virginia Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462043709",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jay@timeinfuture.com",
"affiliation": "Y",
"endpointDescription": "business email address",
"affiliationName": "Village Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Patient Medical History, Lab Results, Plan of Care, Current Prognosis",
"address_1": "9055 Katy Fwy",
"address_2": "Suite 306",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770241624",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Friendswood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.