Supreme Choice Med Care, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SUPREME CHOICE MED CARE, LLC

Practice address

5002 S Lake Houston Pkwy
Suite 7
Houston, TX 77049-2630

Phone

(281) 988-7300

Fax

(281) 988-7302

NPI assigned

Jul 29, 2010

Organization subpart

No

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

Authorized official

Name

Cheryl A Jackson, FNP-BC

Title

Nurse Practitioner

Phone

(281) 988-7300

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl Harrison, FNP-BC

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1013220268
  NPD

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1891009007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 BROWN SCHOOL CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774066727",
            "telephone_number": "281-988-7300",
            "fax_number": "281-988-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 S LAKE HOUSTON PKWY",
            "address_2": "SUITE 7",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492630",
            "telephone_number": "281-988-7300",
            "fax_number": "281-988-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME CHOICE MED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "281-988-7300",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "673649",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supreme All Care Health and Wellness
• Supreme Care ER LP
• Supreme Care Physician Group PLLC
• Supreme Chiropractic Clinic
• Supreme Choice Med Care LLC
• Supreme Compounding LLC
• Supreme Dentistry PLLC
• Supreme Health Care Inc
• Supreme Home Care, LLC.
• Supreme Medical Center LLC

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.