Individual provider Active NPI

Jhoanne Christine D. Elevazo

  • Nurse Practitioner
  • Stafford, TX
National Provider Identifier
1831641737
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP132749 Issued in TX
Practice address
3623 S Main St Ste 109
Stafford, TX 77477-5406
Phone
(713) 336-4340
NPI assigned
Oct 26, 2016
Last updated
May 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP132749 TX Primary
Primary Care Nurse Practitioner 363LP2300X AP132749 TX
Registered Nurse 163W00000X 782788 TX

Addresses

Primary practice location

3623 S Main St Ste 109
Stafford, TX 77477-5406

Mailing address

538 Broadway
Winnie, TX 77665-7600
Phone (409) 296-6000

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
I20180222000483 TX Practitioner - Nurse Practitioner 4789945379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collaborative Geriatrics IncGroup PAC ID 5193827046, 45 clinicians

Practice addresses (Care Compare)

24285 Katy Fwy
Suite 300
Katy, TX 77494-1327
Phone (346) 387-7171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
782788TXMDRegistered Nurse
AP132749TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winnie Community Hospital LLC Multi-Specialty Current Accepting new patients
Winnie Community Hospital, L.L.C. Multi-Specialty CurrentSince May 23, 2022 Accepting new patients
Winnie Community Hospital, L.L.C. Multi-Specialty CurrentSince May 23, 2022 Accepting new patients
Collaborative Geriatrics Inc Multi-Specialty CurrentSince May 19, 2023 Accepting new patients
Doctors Express of the Beaumont Area PA Multi-Specialty CurrentSince May 18, 2022 Accepting new patients
Southlake Doctors Express, PA PSC Multi-Specialty Current Accepting new patients
Houston Medical Care, PA Multi-Specialty PastSince May 18, 2022 Accepting new patients
Vascular Anesthesia Associates PLLC Multi-Specialty PastSince Mar 8, 2019 Accepting new patients
Privia Medical Group Gulf Coast PLLC Multi-Specialty PastSince Jan 1, 2023 Accepting new patients
Riceland Urgent Care Multi-Specialty PastSince May 29, 2022 Accepting new patients

Locations

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

5568 Weslayan St
Houston, TX 77005
Phone (713) 666-7050

24285 Katy Fwy
Ste 300
Katy, TX 77494
Phone (346) 387-7171

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

3623 S Main St
Ste 109
Stafford, TX 77477
Phone (281) 969-7643

1405 Valhalla Dr
Wharton, TX 77488
Phone (713) 723-9068

538 Broadway
Winnie, TX 77665
Phone (409) 296-6000

Interoperability endpoints

  • Direct secure messaging: jelevazo160469@direct.houstonmethodist.org

Organizations & group practices 10

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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1831641737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 BROADWAY",
            "city": "WINNIE",
            "state": "TX",
            "postal_code": "776657600",
            "telephone_number": "409-296-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 S MAIN ST STE 109",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775406",
            "telephone_number": "713-336-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEVAZO",
        "first_name": "JHOANNE CHRISTINE",
        "middle_name": "D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP132749",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP132749",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "782788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.