Jason M Kolodjski, DC, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP131563 Issued in TX

Practice address

13384 Jones Rd
Houston, TX 77070-3916

Phone

(281) 897-8818

Fax

(281) 897-8817

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622937600000",
    "number": "1821110545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13384 JONES RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703916",
            "telephone_number": "281-897-8818",
            "fax_number": "281-897-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13384 JONES RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703916",
            "telephone_number": "281-897-8818",
            "fax_number": "281-897-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLODJSKI",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7233",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kollette Tolbert, LLC
• Shreya Kolli, MD
• Beatrice Kollie
• Brenna Kollmorgen, OTR
• Jonathan Kolmetz, LPC
• Katherine Grace Kolp, MD
• Anna L Kolpakchi, MD
• David Alan Koltz
• Zaur Komachkov, MD
• Ritsuko Komaki, M.D.

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, 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 Jun 6, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.