Individual provider Active NPI

Jessica Howell, PA-C

  • Physician Assistant
  • Double Oak, TX
National Provider Identifier
1821623208
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09771 Issued in NC
Practice address
8501 FM 407
Double Oak, TX 75077-3031
Phone
(972) 966-1980
NPI assigned
Mar 6, 2020
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-09771 NC Primary

Addresses

Primary practice location

8501 FM 407
Double Oak, TX 75077-3031

Mailing address

4171 Oceanside Blvd Ste 109
Oceanside, CA 92056-6008
Phone (760) 216-6253

Other practice location 1

3800 Main St
The Colony, TX 75056-2835
Phone (214) 423-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200424002274 NC Practitioner - Physician Assistant 7012347438 Reassigns benefits to 3 organizations
I20230622002430 AZ Practitioner - Physician Assistant 7012347438 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Em-I Medical Services PC Physician Assistant CurrentSince May 15, 2023 Accepting new patients
Next Step Medical Inc. CurrentSince Oct 16, 2022 Accepting new patients
North Texas Emergency Physicians, PA CurrentSince Sep 11, 2022 Accepting new patients
Rapid Med Argyle PA CurrentSince Oct 19, 2020 Accepting new patients
Yuma Regional Medical Center Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

11351 S Frontage Rd
Yuma, AZ 85367
Phone (928) 336-2000

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

4171 Oceanside Blvd
Ste 109
Oceanside, CA 92056
Phone (716) 216-6253

8501 Justin Rd
Lewisville, TX 75077
Phone (940) 784-7045

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1821623208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 OCEANSIDE BLVD STE 109",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920566008",
            "telephone_number": "760-216-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 FM 407",
            "city": "DOUBLE OAK",
            "state": "TX",
            "postal_code": "750773031",
            "telephone_number": "972-966-1980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Main St",
            "address_purpose": "LOCATION",
            "city": "The Colony",
            "state": "TX",
            "postal_code": "750562835",
            "country_code": "US",
            "telephone_number": "214-423-4141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Double Oak, TX

Sources for this page

Verify at the official NPI Registry.