Active NPI
Jacquelyn Nguyen
- Occupational Therapist
- Houston, TX
National Provider Identifier
1467086769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 120630
- Practice address
- 17270 Red Oak Dr Ste 200
Houston, TX 77090-2632 - Phone
- (281) 440-6960
- NPI assigned
- Feb 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 120630 | TX | Primary |
Addresses
Primary practice location
17270 Red Oak Dr Ste 200
Houston, TX 77090-2632
Mailing address
17270 Red Oak Dr Ste 200
Houston, TX 77090-2632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200331003232 | TX | Practitioner - Occupational Therapist in Private Practice | 8325477003 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120630 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1467086769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17270 RED OAK DR STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17270 RED OAK DR STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902632",
"telephone_number": "281-440-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JACQUELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-25",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "120630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.