Texas Em-I Medical Services, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

TEXAS EM-I MEDICAL SERVICES, PA

Practice address

100 Medical Dr
Lake Jackson, TX 77566-5674

Phone

(979) 297-4411

Fax

(214) 712-2487

NPI assigned

May 17, 2006

Last updated

Mar 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Vaughn

Title

Officer

Phone

(404) 450-4684

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johnna Jay Cacace, NP-C

  • Family Nurse Practitioner
  • Pasadena, TX
  • NPI 1265958250
  NPD
• Jessica Castaneda

  • Family Nurse Practitioner
  • Humble, TX
  • NPI 1104497080
  NPD
• Tasha Chaoman, FNP-C

  • Family Nurse Practitioner
  • Lake Jackson, TX
  • NPI 1336520113
  NPD
• Roxanne Marie Morales

  • Family Nurse Practitioner
  • League City, TX
  • NPI 1134615461
  NPD
• Cody B Prichard, NP-C

  • Family Nurse Practitioner
  • League City, TX
  • NPI 1336648229
  NPD
• Kennikqua Thompson, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1578005302
  NPD
• Shinta Poovathumkal Vincent, APRN

  • Nurse Practitioner
  • Houston, TX
  • NPI 1265827182
  NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1881646701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD STE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401374",
            "telephone_number": "973-251-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665674",
            "telephone_number": "979-297-4411",
            "fax_number": "214-712-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS EM-I MEDICAL SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "404-450-4684"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "364SE0003X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Emergency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152242708",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Synerco Energy Consulting Services Inc (Angel Leaf Rehab and Consulting)
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• Brandon Allen Tate
• Teleios Anesthesia PLLC
• Texas Em-I Medical Services PA
• Texas Family Solutions, LLC
• Texas Gulf Clinic PA
• Texas Neurosciences PLLC
• Texas South-Personal Homecare Services, Inc.
• The Community Hospital of Brazosport (Brazosport Memorial Hospital &Brazosport Regional Health System)

• Physician Assistant in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.