NPIMap

Individual provider Active NPI

Jennings N. Naranjo II, MSN; FNP-C

  • Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1881164960
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP139720 Issued in TX
Practice address
4100 S Medford Dr Ste 201
Lufkin, TX 75901-5621
Phone
(936) 634-6334
Fax
(888) 404-4853
NPI assigned
Nov 30, 2018
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP139720 TX Primary

Addresses

Primary practice location

4100 S Medford Dr Ste 201
Lufkin, TX 75901-5621

Mailing address

4100 S Medford Dr Ste 201
Lufkin, TX 75901-5621
Phone (936) 634-6334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190204002595 TX Practitioner - Nurse Practitioner 7012254709

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Go Med Mobile PLLCGroup PAC ID 9436695202, 2 clinicians

Practice addresses (Care Compare)

1306 N Medford Dr
Lufkin, TX 75901-2035
Phone (936) 634-6334

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Go Med Mobile PLLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

4100 S Medford Dr
Ste 201
Lufkin, TX 75901
Phone (936) 634-6334

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
A Pineywoods Home Health Care, Inc.Beaumont, TX, CCN 677545 Home health agency Corporate Officer Jun 27, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1881164960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S MEDFORD DR STE 201",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015621",
            "telephone_number": "936-634-6334",
            "fax_number": "888-404-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S MEDFORD DR STE 201",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015621",
            "telephone_number": "936-634-6334",
            "fax_number": "888-404-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARANJO",
        "first_name": "JENNINGS",
        "middle_name": "N.",
        "name_suffix": "II",
        "credential": "MSN; FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-30",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP139720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.