Individual provider Active NPI

Jessica Ann Gordon, FNP

  • Family Nurse Practitioner
  • Texas City, TX
National Provider Identifier
1871060939
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138256 Issued in TX
Practice address
6801 Emmett F Lowry Expy
Texas City, TX 77591-2500
Phone
(409) 938-5140
Fax
(409) 938-5205
NPI assigned
Oct 26, 2018
Last updated
Oct 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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 AP138256 TX Primary

Addresses

Primary practice location

6801 Emmett F Lowry Expy
Texas City, TX 77591-2500

Mailing address

1500 Bay Area Blvd Apt V419
Houston, TX 77058-2107
Phone (251) 510-5199

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
I20220618000239 TX Practitioner - Nurse Practitioner 0143609362 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138256TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Heart PLLC CurrentSince Aug 22, 2022 Accepting new patients
CPF Cardiology Associates, P.a. CurrentSince Oct 16, 2023 Accepting new patients

Locations

6807 Emmett F Lowry Expy
Ste 302D
Texas City, TX 77591
Phone (832) 905-5940

450 Blossom St
Ste D
Webster, TX 77598
Phone (832) 905-4044

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CABFCA
  • Direct secure messaging: jessica.gordon@hca9.eclinicaldirectplus.com

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": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1871060939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 BAY AREA BLVD APT V419",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582107",
            "telephone_number": "251-510-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 EMMETT F LOWRY EXPY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912500",
            "telephone_number": "409-938-5140",
            "fax_number": "409-938-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.