Active NPI
Angela Wendy Jackson, RN
- Case Manager/Care Coordinator
- Houston, TX
National Provider Identifier
1659619328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 8299 Cambridge St
1602
Houston, TX 77054-3170 - Phone
- (713) 826-8476
- NPI assigned
- Jan 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Case Management Registered Nurse | 163WC0400X | 522012 | TX |
Addresses
Primary practice location
8299 Cambridge St
1602
Houston, TX 77054-3170
Mailing address
8299 Cambridge
1602
Houston, TX 77054
Phone (713) 826-8476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 522012 | TX | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1659619328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8299 CAMBRIDGE",
"address_2": "1602",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77054",
"telephone_number": "713-826-8476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8299 CAMBRIDGE ST",
"address_2": "1602",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770543170",
"telephone_number": "713-826-8476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ANGELA",
"middle_name": "WENDY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-30",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "TX",
"license": "522012",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.