Individual provider Active NPI

Huru Jackson, APRN-BC

  • Family Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1831740091
Registry record updated Aug 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143253 Issued in TX
Practice address
8118 Fry Rd Ste 201
Cypress, TX 77433-7851
Phone
(832) 696-0900
NPI assigned
Sep 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2023

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 AP143253 TX Primary

Addresses

Primary practice location

8118 Fry Rd Ste 201
Cypress, TX 77433-7851

Mailing address

8118 Fry Rd Ste 201
Cypress, TX 77433-7851
Phone (832) 696-0900

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
I20210208001832 TX Practitioner - Nurse Practitioner 9436564226 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143253TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health PLLC CurrentSince Aug 27, 2023 Accepting new patients
Dynamic Anesthesia Providers PLLC CurrentSince Aug 1, 2021 Accepting new patients
Advanced Practice House Calls LLC Family CurrentSince Jan 1, 2021 Accepting new patients
Advance Pharmacy LLC Past Accepting new patients

Locations

8118 Fry Rd
Ste 201
Cypress, TX 77433
Phone (832) 696-0900

2646 S Loop W
Ste 330
Houston, TX 77054
Phone (281) 888-4407

11626 T C Jester Blvd
Ste 600
Houston, TX 77067
Phone (281) 747-9700

16344 Wallisville Rd
Ste 600
Houston, TX 77049
Phone (281) 747-9700

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

Organizations & group practices 4

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": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691884800000",
    "number": "1831740091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 FRY RD STE 201",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337851",
            "telephone_number": "832-696-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 FRY RD STE 201",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337851",
            "telephone_number": "832-696-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "HURU",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.