Individual provider Active NPI

Jouvonna Lynette Gray, FNP

  • Family Nurse Practitioner
  • Humble, TX
National Provider Identifier
1821328949
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127938 Issued in TX
Practice address
19020 W Lake Houston Pkwy
Humble, TX 77346-5131
Phone
(281) 812-3736
Fax
(844) 781-2056
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP127938 TX Primary

Addresses

Primary practice location

19020 W Lake Houston Pkwy
Humble, TX 77346-5131

Mailing address

19020 W Lake Houston Pkwy
Humble, TX 77346-5131
Phone (281) 812-3736

Other identifiers 1

IdentifierTypeStateIssuer
3514549-02MedicaidTX

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
I20150903000063 TX Practitioner - Nurse Practitioner 5890001010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19020 W Lake Houston Pkwy
Humble, TX 77346-5131
Phone (832) 781-4340

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP127938TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Get Well Healthcare Services Family CurrentSince Oct 28, 2017 Accepting new patients
Get Well at Home Care Agency CurrentSince Jul 19, 2020 Accepting new patients
Premier Diagnostic Center PastSince Aug 3, 2017 Accepting new patients
Grace Family Health LLC PastSince Feb 23, 2020 Accepting new patients
Get Well Walk-in Clinic Past Accepting new patients
Patient Management Associates, LLC Past Accepting new patients

Locations

11411 N Sam Houston Pkwy E
Ste 146
Humble, TX 77396
Phone (832) 781-4340

19020 W Lake Houston Pkwy
Humble, TX 77346
Phone (281) 812-3736

1420 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (832) 781-4340

1420 FM 1960 Bypass Rd E
Ste 122
Humble, TX 77338
Phone (281) 540-2225

303 E Denman Ave
Ste A
Lufkin, TX 75901
Phone (936) 209-4660

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHIFCD/Endpoint/GHIFCD

Organizations & group practices 6

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": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1821328949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 W LAKE HOUSTON PKWY",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773465131",
            "telephone_number": "281-812-3736",
            "fax_number": "844-781-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 W LAKE HOUSTON PKWY",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773465131",
            "telephone_number": "281-812-3736",
            "fax_number": "844-781-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JOUVONNA",
        "middle_name": "LYNETTE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3514549-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.