Individual provider Active NPI

Jessica Harrison

  • Prosthetist
  • The Woodlands, TX
National Provider Identifier
1912665282
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Practice address
12 Centennial Ridge PL
The Woodlands, TX 77354
Phone
(281) 315-4533
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X Primary

Addresses

Primary practice location

12 Centennial Ridge PL
The Woodlands, TX 77354

Mailing address

8000 Research Forest Dr
Ste 115 PMB 1185
The Woodlands, TX 77382
Phone (281) 315-4533

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@opulencehairsolutions.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Opulence Hair Solutions LLC CurrentSince Dec 5, 2021 Accepting new patients

Locations

8000 Research Forest Dr
Ste 115
The Woodlands, TX 77382
Phone (281) 644-0044

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1912665282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 RESEARCH FOREST DR",
            "address_2": "STE 115 PMB 1185",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77382",
            "telephone_number": "281-315-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CENTENNIAL RIDGE PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77354",
            "telephone_number": "281-315-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@opulencehairsolutions.com",
            "affiliation": "N",
            "address_1": "8000 Research Forest Dr",
            "address_2": "Ste 115 PMB 1185",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.