Individual provider Active NPI

Jacqueline T Beyer, FNP

  • Family Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1619492089
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134362 Issued in TX
Practice address
2626 Spencer Hwy
Pasadena, TX 77504-1021
Phone
(281) 974-2102
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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 AP134362 TX Primary

Addresses

Primary practice location

2626 Spencer Hwy
Pasadena, TX 77504-1021

Mailing address

5930 Highway 6 N Ste A2
Houston, TX 77084-1855
Phone (281) 856-7878

Other practice location 1

2702 Park Falls Dr
Pearland, TX 77584-7221
Phone (787) 236-9922

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
I20210211002681 TX Practitioner - Nurse Practitioner 3577978162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2626 Spencer Hwy
Pasadena, TX 77504-1021
Phone (281) 974-2102

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Navarro LLC Family CurrentSince Feb 2, 2021 Accepting new patients
St. Luke'S Health Center LLC Family CurrentSince Apr 9, 2021 Accepting new patients

Locations

5930 Highway 6 N
Ste A2
Houston, TX 77084
Phone (281) 856-7878

2626 Spencer Hwy
Pasadena, TX 77504
Phone (281) 974-2102

2626 Spencer Hwy
Ste 130A
Pasadena, TX 77504

2626 Spencer Hwy
Ste 130
Pasadena, TX 77504
Phone (281) 974-2102

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1619492089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 HIGHWAY 6 N STE A2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770841855",
            "telephone_number": "281-856-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041021",
            "telephone_number": "281-974-2102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2702 Park Falls Dr",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775847221",
            "country_code": "US",
            "telephone_number": "787-236-9922",
            "fax_number": "787-236-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEYER",
        "first_name": "JACQUELINE",
        "middle_name": "T",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.