Individual provider Active NPI

Jenna Leigh Hallmark, FNP

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1447940960
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1124137 Issued in TX
Practice address
17191 St Lukes Way Ste 280
Conroe, TX 77384-8043
Phone
(281) 888-8999
NPI assigned
May 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 893897 TX
Family Nurse Practitioner 363LF0000X 1124137 TX Primary

Addresses

Primary practice location

17191 St Lukes Way Ste 280
Conroe, TX 77384-8043

Mailing address

902 W 15TH 1/2 St
Houston, TX 77008-3414
Phone (713) 303-8428

Other practice location 1

427 W 20th Street
Ste 300
Houston, TX 77008-2429
Phone (281) 888-8999

Other practice location 2

7616 Branford Place
Ste 140
Sugar Land, TX 77479-5475
Phone (281) 888-8999

Other practice location 3

10023 South Main Street
Ste C-10
Houston, TX 77025-5251
Phone (281) 888-8999

Other practice location 4

3412 Burke Road
Ste 100
Pasadena, TX 77504-1805
Phone (281) 888-8999

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
893897TXMDRegistered Nurse
1124137TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Anesthesia Associates PLLC PastSince Jun 1, 2023 Accepting new patients
Cardiovascular Care Providers, Inc. Past 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": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1447940960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W 15TH 1/2 ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083414",
            "telephone_number": "713-303-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17191 ST LUKES WAY STE 280",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773848043",
            "telephone_number": "281-888-8999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 W 20th Street",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770082429",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7616 Branford Place",
            "address_2": "Ste 140",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774795475",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "828-254-1614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10023 South Main Street",
            "address_2": "Ste C-10",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770255251",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3412 Burke Road",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775041805",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLMARK",
        "first_name": "JENNA",
        "middle_name": "LEIGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "893897",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1124137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.