Levonika Jackson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP127933 Issued in TX

Practice address

4855 Riverstone Blvd
103
Missouri City, TX 77459-4377

Phone

(281) 313-6348

Fax

(281) 313-6349

NPI assigned

Apr 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diabetes Relief Houston Westside Series LLCGroup PAC ID 5395159651, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9421/brand/1/csg/1/fhir/r4

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.

• Diabetes Relief Houston Westside Series, LLC

  • Infusion Therapy Clinic/Center
  • Houston, TX
  • NPI 1598352171
  Medicare reassignment Care Compare group NPD
• Diabetes Relief Houston Westside Series, LLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1225914468
  NPD
• Genesis Health and Wellness, PA

  • Adult Medicine Physician
  • Missouri City, TX
  • NPI 1790974541
  NPD (past)

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

{
    "created_epoch": "1428710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428710400000",
    "number": "1669868113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 RIVERSTONE BLVD",
            "address_2": "103",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594377",
            "telephone_number": "281-313-6348",
            "fax_number": "281-313-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 RIVERSTONE BLVD",
            "address_2": "103",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594377",
            "telephone_number": "281-313-6348",
            "fax_number": "281-313-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LEVONIKA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-11",
        "last_updated": "2015-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Jackson
• Bianca Michelle Jackson
• Georonika Jackson, PT
• Janecia Sonyell Jackson, FNP-C
• Lakiffanie Patryce Jackson, APRN-CNP
• Shelia Scales Jackson
• Tamara Tanyette Jackson
• Tamerra Jackson, BT
• Mereen Jacob, RDN, LD
• Bridgette Annette Jacobs, RPH

• Family Nurse Practitioner in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.