Individual provider Active NPI

Jade Truong

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1588913305
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
754585 Issued in TX
Practice address
10625 Veterans Memorial Dr Ste D
Houston, TX 77038-1047
Phone
(832) 327-7700
NPI assigned
Sep 7, 2012
Last updated
Dec 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 754585 TX Primary

Addresses

Primary practice location

10625 Veterans Memorial Dr Ste D
Houston, TX 77038-1047

Mailing address

10411 Veterans Memorial Dr
Ste a
Houston, TX 77038-1501
Phone (832) 327-7700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151230001827 TX Practitioner - Nurse Practitioner 6709188261 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
754585TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Medical, PA CurrentSince Dec 17, 2015 Accepting new patients

Locations

10411 Veterans Memorial Dr
Ste A
Houston, TX 77038
Phone (832) 327-7700

Organizations & group practices 1

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": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1588913305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 VETERANS MEMORIAL DR",
            "address_2": "STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770381501",
            "telephone_number": "832-327-7700",
            "fax_number": "832-327-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10625 VETERANS MEMORIAL DR STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770381047",
            "telephone_number": "832-327-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "754585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.