Individual provider Active NPI

January Lauren Green, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1588163885
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135062 Issued in TX
Practice address
5800 Ranchester
Suite 125
Houston, TX 77036-2470
Phone
(866) 306-2026
NPI assigned
Feb 2, 2018
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0013284 DE
Family Nurse Practitioner 363LF0000X AP135062 TX Primary

Addresses

Primary practice location

5800 Ranchester
Suite 125
Houston, TX 77036-2470

Mailing address

2007 N Collins Blvd Ste 303
Richardson, TX 75080-2666
Phone (214) 257-0682

Other names 1

  • January Lauren Gentry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, NY, WV, PA, NJ, DE7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20220322000079 TX Practitioner - Nurse Practitioner 2769877117 Reassigns benefits to 1 organization
I20230223002339 FL Practitioner - Nurse Practitioner 2769877117 Reassigns benefits to 1 organization
I20230419000176 NY Practitioner - Nurse Practitioner 2769877117 Reassigns benefits to 1 organization
I20241202000470 WV Practitioner - Nurse Practitioner 2769877117 Reassigns benefits to 1 organization
I20250805004277 PA Practitioner - Nurse Practitioner 2769877117 Reassigns benefits to 1 organization
I20250905001604 NJ Practitioner - Nurse Practitioner 2769877117 Reassigns benefits to 1 organization
I20250905001941 DE Practitioner - Nurse Practitioner 2769877117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ophelia Medical Group FL PAGroup PAC ID 7810398534, 103 clinicians

Practice addresses (Care Compare)

161 Cecil B Moore Ave
Apt 204
Philadelphia, PA 19122-3243
Phone (215) 585-2144

222 Delaware St
Suite 213
Historic New Castle, DE 19720-4855
Phone (215) 585-2144

24 Reliance Rd
Suite 5
Martinsburg, WV 25403-2281
Phone (215) 585-2144

527 Bay Rd
Suite 7
Queensbury, NY 12804-1430
Phone (215) 585-2144

5800 Ranchester Dr
Suite 125F
Houston, TX 77036-2464
Phone (215) 585-2144

801 W Bay Dr
Suite 408
Largo, FL 33770-3220
Phone (215) 585-2144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0013284DEMDNurse Practitioner
AP135062TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ophelia Medical Group NJ PC CurrentSince Aug 20, 2025 Accepting new patients
Ophelia Medical Group, P.C. CurrentSince Jul 23, 2025 Accepting new patients
Kinghaven Counseling Group Inc CurrentSince Apr 1, 2021 Accepting new patients
Ophelia Medical Group Ny, P.C. PastSince Oct 9, 2024 Accepting new patients

Locations

230 US Highway 206
Ste 4
Flanders, NJ 07836

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

2007 N Collins Blvd
Ste 303
Richardson, TX 75080
Phone (972) 947-4112

Organizations & group practices 5

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": "1517529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1588163885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 N COLLINS BLVD STE 303",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802666",
            "telephone_number": "214-257-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 RANCHESTER",
            "address_2": "SUITE 125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362470",
            "telephone_number": "866-306-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JANUARY",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-02",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0013284",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANUARY",
            "last_name": "GENTRY",
            "middle_name": "LAUREN",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.