Individual provider Active NPI

Jillianne Cheong, NP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1417334954
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127993 Issued in TX
Practice address
11251 Fondren Rd
Houston, TX 77096-5507
Phone
(281) 707-7362
Fax
(832) 376-7210
NPI assigned
May 5, 2015
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP127993 TX Primary

Addresses

Primary practice location

11251 Fondren Rd
Houston, TX 77096-5507

Mailing address

PO Box 746079
Atlanta, GA 30374-6079

Other practice location 1

6700 West Loop S
suite 500
Bellaire, TX 77401-4104
Phone (713) 892-5500

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
I20150623000604 TX Practitioner - Nurse Practitioner 5890006514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

11251 Fondren Rd
Houston, TX 77096-5507
Phone (281) 707-7362

3500 Little York Rd
A 5
Houston, TX 77093-3658
Phone (281) 707-7358

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince May 11, 2015 Accepting new patients
Ut Physicians CurrentSince May 11, 2015 Accepting new patients
Oak Street Health of Texas, PLLC Family CurrentSince Apr 22, 2024 Accepting new patients

Locations

6700 West Loop S
Ste 500
Bellaire, TX 77401
Phone (713) 791-9966

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

11251 Fondren Rd
Houston, TX 77096
Phone (281) 707-7362

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

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.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1417334954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746079",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746079",
            "fax_number": "832-376-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11251 FONDREN RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965507",
            "telephone_number": "281-707-7362",
            "fax_number": "832-376-7210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 West Loop S",
            "address_2": "suite 500",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774014104",
            "country_code": "US",
            "telephone_number": "713-892-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEONG",
        "first_name": "JILLIANNE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.