Billy Joice Jack

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

4902 Mill Creek Dr
Baytown, TX 77521-4131

Phone

(281) 683-5061

NPI assigned

Aug 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1487321055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 MILL CREEK DR # 4902",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775214131",
            "telephone_number": "281-683-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 MILL CREEK DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775214131",
            "telephone_number": "281-683-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACK",
        "first_name": "BILLY",
        "middle_name": "JOICE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J & C Dickerson Investment Group Inc. (Premium Care EMS)
• J & J Angels Care LLC
• Sameera Jabeen, M.D
• Jacinto Medical Center, L.P. (Jacinto MRI & Diagnostic Center)
• Jacinto Medical Group P a
• Beverly J Jackson
• Breana Jackson
• Heather Jackson
• Joyce Jackson, PHARMD
• Rose Marie Jackson, LMSW-AB, LCDC, AAC

• Non-emergency Medical Transport (VAN) in Baytown, TX
• Providers in Baytown, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.