Individual provider Active NPI

Jennifer Elise Duchaney, CPNP-PC

  • Pediatric Nurse Practitioner
  • Lake Jackson, TX
National Provider Identifier
1427339209
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP120661 Issued in TX
Practice address
508 This Way St
Lake Jackson, TX 77566-5128
Phone
(281) 298-1144
NPI assigned
Sep 7, 2011
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 754961 TX
Pediatric Nurse Practitioner 363LP0200X AP120661 TX Primary

Addresses

Primary practice location

508 This Way St
Lake Jackson, TX 77566-5128

Mailing address

14960 Park Row Dr
Houston, TX 77084-5165
Phone (281) 298-1144

Other practice location 1

920 Medical Plaza Dr Ste 120
Shenandoah, TX 77380-3275
Phone (281) 298-1144

Other identifiers 1

IdentifierTypeStateIssuer
287462011MedicaidTX

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
754961TXMDPediatric Nurse Practitioner
AP120661TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shaun S. Varghese, M.D., PLLC PastSince Aug 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.martin@think.eclinicaldirectplus.com

Organizations & group practices 1

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": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1427339209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14960 PARK ROW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845165",
            "telephone_number": "281-298-1144",
            "fax_number": "281-298-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 THIS WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665128",
            "telephone_number": "281-298-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Medical Plaza Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Shenandoah",
            "state": "TX",
            "postal_code": "773803275",
            "country_code": "US",
            "telephone_number": "281-298-1144",
            "fax_number": "281-298-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCHANEY",
        "first_name": "JENNIFER",
        "middle_name": "ELISE",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "754961",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP120661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287462011",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.