Tirita Jones, ARNP
Individual provider Active NPI Family Nurse Practitioner · Seabrook, TX
NPI 1770980880 · NPPES record last updated Dec 12, 2017
Key facts
- NPI
- 1770980880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP135133 (TX)
- Practice address
- 2800 Bayport Blvd
Seabrook, TX 77586-1566 - Phone
- (186) 638-9272
- NPI assigned
- Dec 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180118001851 | TX | Practitioner - Nurse Practitioner | 9638499569 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9199801 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Texas PLLC | Current |
Accepting new patients | |
| Minuteclinic Diagnostic of Texas PLLC | Family | Current |
Accepting new patients |
| Harris County Public Health and Environmental Services - Hit | Past | Accepting new patients |
Locations
1540 E Main St
Allen, TX 75002
Phone (214) 383-9765
3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964
2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846
9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151
2800 Bayport Blvd
Seabrook, TX 77586
Phone (281) 474-4042
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9199801 | FL | |
| Family Nurse Practitioner | 363LF0000X | AP135133 | TX | Yes |
Addresses
Primary practice location
2800 Bayport Blvd
Seabrook, TX 77586-1566
Mailing address
2800 Bayport Blvd
Seabrook, TX 77586-1566
Other providers in Seabrook, TX
- Imagine Enterprises
- Integrated Personal Fitness, LLC
- Sarah Johnson
- Jacqueline Jones
- Laura Katherine Jones
- Cynthia Sara Khatcherian
- Kroger Texas L P
- Lakeside Family Practice PA
- Landon Dental, PA
- Sally Ann Landon
All providers in Seabrook, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.