Jennifer Heath MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

J6998 Issued in TX

Legal business name

JENNIFER HEATH MD

Practice address

6410 Southwest Blvd Ste 101
Benbrook, TX 76109-3918

Phone

(817) 735-1888

NPI assigned

Apr 20, 2007

Last updated

Aug 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Billman

Title

Claims Manager

Phone

(972) 258-9570

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Echegoyen Davis, M.D.

  • Psychiatry Physician
  • Fort Worth, TX
  • NPI 1215016951
  NPD (past)
• Jennifer C Heath, MD

  • Psychiatry Physician
  • Fort Worth, TX
  • NPI 1326058934
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1538386446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2710",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750198710",
            "telephone_number": "972-258-9750",
            "fax_number": "972-258-9569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 SOUTHWEST BLVD STE 101",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093918",
            "telephone_number": "817-735-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER HEATH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "BILLMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CLAIMS MANAGER",
        "authorized_official_telephone_number": "972-258-9570"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J6998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0098BW",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "260035942",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113817401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack W. Morrow, DDS,MSD
• Alycia Jackson
• Kayla Jackson
• Mark Wayne Jackson
• Samuel Jampolis, M.D.
• Jerod Brazeal, DDS, PLLC
• Sarina Jimenez
• Ernest Johnson
• Madeline Johnson
• Samantha Ashley Johnson, DPT

• Psychiatry Physician in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.