Individual provider Active NPI

Jenny Lyn Viney, APRN

  • Pediatric Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1700516671
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1038819 Issued in TX
Practice address
121 Vision Park Blvd Ste 200
Shenandoah, TX 77384-3027
Phone
(281) 725-6767
NPI assigned
Jun 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1038819 TX Primary

Addresses

Primary practice location

121 Vision Park Blvd Ste 200
Shenandoah, TX 77384-3027

Mailing address

1810 Lofty Maple TRL
Kingwood, TX 77345-1938
Phone (719) 201-0686

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL jvineyh4h@gmail.com Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
1038819TXMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1700516671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 LOFTY MAPLE TRL",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773451938",
            "telephone_number": "719-201-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 VISION PARK BLVD STE 200",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843027",
            "telephone_number": "281-725-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINEY",
        "first_name": "JENNY",
        "middle_name": "LYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1038819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "jvineyh4h@gmail.com",
            "affiliation": "N",
            "endpointDescription": "organizational email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "121 Vision Park Blvd Ste 200",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773843027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.