Myounghee Michelle Jeong, FNP-BC, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP141080 Issued in TX

Practice address

11476 Space Center Blvd Ste 100
Houston, TX 77059-3656

Phone

(713) 486-6325

NPI assigned

Mar 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Myounghee Roh Professional name

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: myounghee.jeong.1@13711.direct.athenahealth.com

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.

• Villagemd of Southeast Texas, PA

  • Family Medicine Physician
  • Houston, TX
  • NPI 1841643327
  Medicare reassignment Care Compare group NPD
• Providence Physician Associates

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1760919880
  Medicare reassignment NPD
• Village Family Practice, L.L.P

  • Family Medicine Physician
  • Houston, TX
  • NPI 1083619191
  NPD
• Brazos Medical Center

  • Family Medicine Physician
  • Houston, TX
  • NPI 1811453293
  NPD (past)

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1417418682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN STREET JJL 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-500-7885",
            "fax_number": "713-500-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11476 SPACE CENTER BLVD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593656",
            "telephone_number": "713-486-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "MYOUNGHEE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP141080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYOUNGHEE",
            "last_name": "ROH",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karen Jean Jeoffroy, MD
• Dayoung Kelly Jeon
• Christopher Jeong, PTA
• Ji Wook Jeong, DMD, MSD
• Jooeun Jeong
• Won Jae Jeong, MD
• Jeremiah Speech Solutions, PLLC
• Jeremy J. Vela, D.D.S., P.L.L.C.
• Marco Rodrigo Jerez, PT, DPT
• Monica Jerez

• Primary Care Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.