Active NPI
Jennifer Nicole Tellez, CRNA
- Certified Registered Nurse Anesthetist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 687374
- Practice address
- 2411 Fountain View Dr
Ste. 200
Houston, TX 77057-4817 - Phone
- (713) 620-4000
- NPI assigned
- Jan 21, 2009
- Last updated
- Sep 23, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 687374 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 687374 | TX | Primary |
Addresses
Primary practice location
2411 Fountain View Dr
Ste. 200
Houston, TX 77057-4817
Mailing address
2411 Fountain View Dr
Ste. 200
Houston, TX 77057-4817
Phone (713) 620-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205627704 | Medicaid | TX | |
| 205627703 | Medicaid | TX | |
| 8486UB | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15300 Southwest Fwy
Suite 100
Sugar Land, TX 77478-3827
Phone (281) 274-6670
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Anesthesia Partners of Texas, PA | Nurse Practitioner | Current | Accepting new patients |
| Texans Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Practitioner | Current | Accepting new patients |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994
900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066
2411 Fountain View Dr
Ste 200
Houston, TX 77057
Phone (713) 458-4185
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
7700 Fannin St
Houston, TX 77054
Phone (713) 790-1349
9525 Katy Fwy
Ste 206
Houston, TX 77024
Phone (713) 400-2993
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
15300 Southwest Fwy
Ste 100
Sugar Land, TX 77478
Phone (281) 274-6670
333 N Texas Ave
Ste 1000
Webster, TX 77598
Phone (281) 557-5620
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba Pain Relief Associates
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Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
dba Greater Houston Anesthesiology, P.A.
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Practitioner
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1861639379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "STE. 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "713-620-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 FOUNTAIN VIEW DR",
"address_2": "STE. 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770574817",
"telephone_number": "713-620-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLEZ",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"name_prefix": "Miss",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-21",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "687374",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "687374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205627704",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205627703",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8486UB",
"state": "TX"
}
],
"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 Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.