Individual provider Active NPI

Jacqueline Lynn Howard

  • Community Health Registered Nurse
  • Midland, TX
National Provider Identifier
1457666356
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
689420 Issued in TX
Practice address
3303 W Illinois Ave
Ste 22
Midland, TX 79703-6213
Phone
(432) 681-7617
Fax
(432) 699-6290
NPI assigned
Aug 16, 2010
Last updated
Aug 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 689420 TX Primary

Addresses

Primary practice location

3303 W Illinois Ave
Ste 22
Midland, TX 79703-6213

Mailing address

3303 W Illinois Ave
Ste 22
Midland, TX 79703-6213
Phone (432) 681-7617

Other names 1

  • Jacqueline Lynn Matus Former name

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
689420TXMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
City of Midland- Health Past Accepting new patients

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": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1457666356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 W ILLINOIS AVE",
            "address_2": "STE 22",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797036213",
            "telephone_number": "432-681-7617",
            "fax_number": "432-699-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 W ILLINOIS AVE",
            "address_2": "STE 22",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797036213",
            "telephone_number": "432-681-7617",
            "fax_number": "432-699-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JACQUELINE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TX",
            "license": "689420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "MATUS",
            "middle_name": "LYNN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.