Individual provider Active NPI

Jeanette H Tifre, REGISTERED NURSE

  • Health & Wellness Coach
  • Friendswood, TX
National Provider Identifier
1386325918
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
61235924870410 Issued in TX
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

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
61235924870410TXMDHealth & Wellness Coach

Practice roles

OrganizationSpecialtyStatusNew patients
Time in Future, LLC CurrentSince Oct 22, 2023 Accepting new patients
Time in Future CurrentSince Dec 10, 2023 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.

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.

Verify at the official NPI Registry.