Individual provider Active NPI

Jamila Wheeler-Smith

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1730645169
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP140190 Issued in TX
Practice address
1125 Cypress Station Dr BLDG 1
Houston, TX 77090-3054
Phone
(281) 586-7880
Fax
(281) 580-5061
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP140190 TX Primary

Addresses

Primary practice location

1125 Cypress Station Dr BLDG 1
Houston, TX 77090-3054

Mailing address

1125 Cypress Station Dr BLDG 1
Houston, TX 77090-3054
Phone (281) 586-7880

Other practice location 1

700 N San Jacinto St
Conroe, TX 77301-2540
Phone (936) 441-7555

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
I20190729002549 TX Practitioner - Nurse Practitioner 6204162266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LK and D Enterprises LLCGroup PAC ID 4789734013, 7 clinicians

Practice addresses (Care Compare)

1125 Cypress Station Dr
Suite B 1
Houston, TX 77090-3055
Phone (281) 586-7880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140190TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LK & D Enterprises LLC CurrentSince Apr 9, 2019 Accepting new patients
Larry Flowers MD PA PastSince Apr 9, 2019 Accepting new patients

Locations

700 N San Jacinto St
Conroe, TX 77301
Phone (936) 441-7555

1125 Cypress Station Dr
Ste B-1
Houston, TX 77090
Phone (281) 537-7207

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": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1730645169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CYPRESS STATION DR BLDG 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903054",
            "telephone_number": "281-586-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CYPRESS STATION DR BLDG 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903054",
            "telephone_number": "281-586-7880",
            "fax_number": "281-580-5061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 N San Jacinto St",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773012540",
            "country_code": "US",
            "telephone_number": "936-441-7555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER-SMITH",
        "first_name": "JAMILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP140190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.