Breana Jackson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1009642 Issued in TX

Practice address

4949 Borusan Rd
Baytown, TX 77523-3700

Phone

(281) 918-0771

NPI assigned

Oct 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: breana.jackson.p2@direct.alegiscare.nextgenshare.com
• Direct secure messaging: breana.jackson.p1@direct.alegiscare.nextgenshare.com

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.

• Borusan Pipe U.S. Inc.

  • Occupational Medicine Clinic/Center
  • Baytown, TX
  • NPI 1568155885
  NPD Authorized official

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1912504176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ROYAL ROSE DR",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775783377",
            "telephone_number": "832-651-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 BORUSAN RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775233700",
            "telephone_number": "281-918-0771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 St Joseph Pkwy Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770028237",
            "country_code": "US",
            "telephone_number": "773-254-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BREANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1009642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sameera Jabeen, M.D
• Jacinto Medical Center, L.P. (Jacinto MRI & Diagnostic Center)
• Jacinto Medical Group P a
• Billy Joice Jack
• Beverly J Jackson
• Heather Jackson
• Joyce Jackson, PHARMD
• Rose Marie Jackson, LMSW-AB, LCDC, AAC
• Merin Ann Jacob, AU.D
• Jai Jadegondanahalli, M.D.

• Family Nurse Practitioner in Baytown, TX
• Providers in Baytown, 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 Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.