Individual provider Active NPI

Joann Negron, ARNP BC

  • Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1902893530
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
722998 Issued in TX
Practice address
19701 Kingwood Dr
BLDG 3
Kingwood, TX 77339-3773
Phone
(281) 358-5701
Fax
(281) 358-7061
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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 722998 TX Primary

Addresses

Primary practice location

19701 Kingwood Dr
BLDG 3
Kingwood, TX 77339-3773

Mailing address

19701 Kingwood Dr
BLDG 3
Kingwood, TX 77339-3773
Phone (281) 358-5701

Other identifiers 1

IdentifierTypeStateIssuer
1821035-01MedicaidTX

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
I20061016000090 TX Practitioner - Nurse Practitioner 6800836891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Athi P Venkatesh MD PAGroup PAC ID 0749213403, 10 clinicians

Practice addresses (Care Compare)

19701 Kingwood Dr
Suite 3
Kingwood, TX 77339-3773
Phone (281) 358-5701

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
722998TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athi P Venkatesh MD PA CurrentSince Nov 17, 2010 Accepting new patients
University of Texas Health Science Center at Houston Nurse Practitioner Past Accepting new patients
University of Texas Health Science Center at Houston Past Accepting new patients
The University of Texas Health Science Center at Houston Past Accepting new patients
Park View Psychiatric Services, PSC Past Accepting new patients

Locations

19701 Kingwood Dr
Bldg 3
Kingwood, TX 77339
Phone (281) 358-5701

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1902893530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR",
            "address_2": "BLDG 3",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393773",
            "telephone_number": "281-358-5701",
            "fax_number": "281-358-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR",
            "address_2": "BLDG 3",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393773",
            "telephone_number": "281-358-5701",
            "fax_number": "281-358-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "JOANN",
        "credential": "ARNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "722998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821035-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.