Active NPI
Jija Varghese, MSN,RN,FNP-C
- Family Nurse Practitioner
- Texas City, TX
National Provider Identifier
1467827865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP129801
- Practice address
- 9850-C Emmett F.Lowry Expy
Texas City, TX 77591 - Phone
- (409) 949-3406
- NPI assigned
- Dec 10, 2015
- Last updated
- Oct 7, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP129801 | TX | Primary |
Addresses
Primary practice location
9850-C Emmett F.Lowry Expy
Texas City, TX 77591
Mailing address
9850 Emmett F Lowry Expy Ste C
Texas City, TX 77591-2001
Phone (409) 949-3406
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190304000979 | TX | Practitioner - Nurse Practitioner | 3577852995 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP129801 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris County Public Health and Environmental Services - Hit | Past | Accepting new patients | |
| Sutter Regional Medical Foundation | Past | Accepting new patients | |
| Coastal Health & Wellness | Past | Accepting new patients | |
| Harris County Public Health & Environmental Services | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Texas City, TX
- NPI 1578588406
-
- Case Management Agency
- Houston, TX
- NPI 1821122300
-
- Public Health or Welfare Agency
- Houston, TX
- NPI 1528424835
-
- Family Medicine Physician
- Fairfield, CA
- NPI 1558388504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1467827865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 EMMETT F LOWRY EXPY STE C",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775912001",
"telephone_number": "409-949-3406",
"fax_number": "409-949-3492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850-C EMMETT F.LOWRY EXPY",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "77591",
"telephone_number": "409-949-3406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "JIJA",
"credential": "MSN,RN,FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-10",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP129801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texas City, TX
- Usrc Texas City, LLC (U.S. Renal Care Texas City Dialysis)
- Utmb Regional Maternal and Child Health Program (UTMB RMCHP - Texas City)
- Utmb Regional Maternal and Child Health Program
- Utmb Regional Maternal and Child Health Program
- Charles Edward Vallier, PHD
- Bianca Velazquez
- Anastasia Yamira Venegas, REGISTERED NURSE
- Vericare, P.C. (Vericare)
- Vickie Taylor Community Health Clinic
- Villa del Mar at Mainland Center (The Rio at Mainland Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.