Individual provider Active NPI

Jingle Alcala Alcazaren, MSN, APRN, AGPCNP-C

  • Gerontology Nurse Practitioner
  • Houston, TX
National Provider Identifier
1861035560
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP142731 Issued in TX
Practice address
8785 W Bellfort St
Houston, TX 77031-2403
Phone
(713) 771-2292
NPI assigned
Oct 25, 2019
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP142731 TX Primary

Addresses

Primary practice location

8785 W Bellfort St
Houston, TX 77031-2403

Mailing address

2326 Shadow Falls LN
Pearland, TX 77584-3410
Phone (281) 857-5262

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
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP142731TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bee Busy Wellness Center Past Accepting new patients
Bee Busy Wellness Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jalcazaren321575@direct.ochin.org

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, 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": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1861035560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 SHADOW FALLS LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843410",
            "telephone_number": "281-857-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8785 W BELLFORT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770312403",
            "telephone_number": "713-771-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCAZAREN",
        "first_name": "JINGLE",
        "middle_name": "ALCALA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, AGPCNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP142731",
            "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 Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.