Active NPI
Pamela Joyce Jones, LVN
- Licensed Practical Nurse
- Conroe, TX
National Provider Identifier
1861578676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 204356
- Practice address
- 3115 College Park Dr
Suite 104
Conroe, TX 77384 - Phone
- (936) 321-5030
- Fax
- (936) 271-5033
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 204356 | TX | Primary |
Addresses
Primary practice location
3115 College Park Dr
Suite 104
Conroe, TX 77384
Mailing address
6715 Durango Dr
Magnolia, TX 77354
Phone (281) 686-3755
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 |
|---|---|---|---|
| 204356 | TX | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murray B. Fershtman, M.D. | Past | Accepting new patients |
Organizations & group practices 1
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": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861578676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6715 DURANGO DR",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "77354",
"telephone_number": "281-686-3755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3115 COLLEGE PARK DR",
"address_2": "SUITE 104",
"city": "CONROE",
"state": "TX",
"postal_code": "77384",
"telephone_number": "936-321-5030",
"fax_number": "936-271-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "PAMELA",
"middle_name": "JOYCE",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TX",
"license": "204356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.