Active NPI
Supreme Choice Med Care LLC
- Family Nurse Practitioner
- Houston, TX
National Provider Identifier
1821343765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 673649
- Legal business name
- SUPREME CHOICE MED CARE LLC
- Practice address
- 5002 S Lake Houston Pkwy Ste 7
Houston, TX 77049-2631 - Phone
- (832) 971-1588
- NPI assigned
- Jul 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl A Jackson, FNP-BC
- Title
- President
- Phone
- (832) 971-1588
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 673649 | TX | Primary |
Addresses
Primary practice location
5002 S Lake Houston Pkwy Ste 7
Houston, TX 77049-2631
Mailing address
1922 Brown School CT
Richmond, TX 77406-6727
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1013220268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342483200000",
"number": "1821343765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 BROWN SCHOOL CT",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774066727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 S LAKE HOUSTON PKWY STE 7",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770492631",
"telephone_number": "832-971-1588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPREME CHOICE MED CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "832-971-1588",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "673649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.