Individual provider Active NPI

Jennifer Erin Burbridge, R.N., F.N.P.

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1679610497
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0390964-22 Issued in TX
Practice address
9055 Katy Fwy
Ste 200
Houston, TX 77024-1624
Phone
(713) 461-2915
Fax
(713) 461-5307
NPI assigned
Jan 31, 2007
Last updated
Jan 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0390964-22 TX Primary
Registered Nurse 163W00000X 647883 TX

Addresses

Primary practice location

9055 Katy Fwy
Ste 200
Houston, TX 77024-1624

Mailing address

9235 Katy Fwy Ste 400
Houston, TX 77024-1507
Phone (713) 461-2915

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
I20041021000469 TX Practitioner - Nurse Practitioner 9739140963 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0390964-22TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pecan Health PLLC Family CurrentSince Oct 1, 2024 Accepting new patients
Wound Management Specialists, LLC CurrentSince Jan 1, 2024 Accepting new patients
Gail E. Burbridge, M.D., P.a. Past Accepting new patients
Whiteglove Medical Care - NJ, PC Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

434 Katherine Dr
Flowood, MS 39232
Phone (769) 216-3346

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

20320 Northwest Fwy
Ste 400A
Jersey Village, TX 77065
Phone (281) 397-0777

201 Kingwood Medical Dr
Ste A200
Kingwood, TX 77339
Phone (346) 345-2092

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

515 N 3rd St
Longview, TX 75601
Phone (903) 215-3149

Organizations & group practices 5

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1679610497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 KATY FWY STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241507",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9055 KATY FWY",
            "address_2": "STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241624",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBRIDGE",
        "first_name": "JENNIFER",
        "middle_name": "ERIN",
        "name_prefix": "Ms.",
        "credential": "R.N., F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "0390964-22",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "647883",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.