Active NPI
Jennifer L Behm, PA-C
- Medical Physician Assistant
- Midland, TX
National Provider Identifier
1831341783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA05562
- Practice address
- 3303 W Illinois Ave
Ste 22
Midland, TX 79703-6213 - Phone
- (432) 681-3191
- Fax
- (432) 681-3192
- NPI assigned
- Oct 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA05562 | TX | Primary |
Addresses
Primary practice location
3303 W Illinois Ave
Ste 22
Midland, TX 79703-6213
Mailing address
3303 W Illinois Ave
Ste 22
Midland, TX 79703-6213
Phone (432) 681-3191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA05562 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Midland | Past | Accepting new patients | |
| City of Midland- Health | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Public Health or Welfare Agency
- Midland, TX
- NPI 1699959569
-
- Public Health or Welfare Agency
- Midland, TX
- NPI 1447505342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1831341783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 W ILLINOIS AVE",
"address_2": "STE 22",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797036213",
"telephone_number": "432-681-3191",
"fax_number": "432-681-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 W ILLINOIS AVE",
"address_2": "STE 22",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797036213",
"telephone_number": "432-681-3191",
"fax_number": "432-681-3192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHM",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA05562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.