Individual provider Active NPI

Janice Guillot Jeansonne, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • The Woodlands, TX
National Provider Identifier
1609203793
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
639519 Issued in TX
Practice address
9305 Pinecroft Dr
Suite 300
The Woodlands, TX 77380-3482
Phone
(713) 897-7221
NPI assigned
Oct 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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 639519 TX Primary

Addresses

Primary practice location

9305 Pinecroft Dr
Suite 300
The Woodlands, TX 77380-3482

Mailing address

2906 Laurel Mist CT
Kingwood, TX 77345-4942
Phone (281) 300-6947

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20230503000803 ID Practitioner - Nurse Practitioner 9638306996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashton Memorial IncGroup PAC ID 7719898873, 4 clinicians

Practice addresses (Care Compare)

23 S 8TH St
Ashton, ID 83420-5211
Phone (208) 652-3396

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
639519TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashton Memorial, Inc. CurrentSince May 1, 2023 Accepting new patients
Ashton Memorial, Inc. CurrentSince May 1, 2023 Accepting new patients
Ashton Memorial, Inc. Past Accepting new patients

Locations

1273 E 17th St
Idaho Falls, ID 83404
Phone (208) 523-0787

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1609203793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 LAUREL MIST CT",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773454942",
            "telephone_number": "281-300-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 PINECROFT DR",
            "address_2": "SUITE 300",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803482",
            "telephone_number": "713-897-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANSONNE",
        "first_name": "JANICE",
        "middle_name": "GUILLOT",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "639519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.