Active NPI
Generational Health Innovations
- Community Health Nurse Practitioner
- Tyler, TX
National Provider Identifier
1912887415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- Legal business name
- GENERATIONAL HEALTH INNOVATIONS
- Practice address
- 844 S Fleishel Ave
Tyler, TX 75701-2042 - Phone
- (954) 557-2775
- NPI assigned
- Sep 4, 2025
- Last updated
- Oct 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer A Blake
- Title
- Ceo
- Phone
- (954) 557-2775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | Primary |
Addresses
Primary practice location
844 S Fleishel Ave
Tyler, TX 75701-2042
Mailing address
PO Box 6994
Tyler, TX 75711-6994
Phone (954) 557-2775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Tyler, TX
- NPI 1265977144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759363200000",
"number": "1912887415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6994",
"city": "TYLER",
"state": "TX",
"postal_code": "757116994",
"telephone_number": "954-557-2775",
"fax_number": "903-805-4928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 S FLEISHEL AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757012042",
"telephone_number": "954-557-2775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERATIONAL HEALTH INNOVATIONS",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-04",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A",
"authorized_official_last_name": "BLAKE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "954-557-2775"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
- Ashley Gee
- Asita Reddy Geetla, M.B.B.S.
- Gege's Caring Heart, LLC
- Sabrina R Gelina
- Generational Health Collective, LLC (Brick & Rose Chiropractic)
- Genesis Extracare, LLC
- Genesis Homecare, Inc.
- Genesis Medical Products (Durable Medical Equipment)
- Genoa Healthcare LLC
- Jamie Larae Genovese, MED/MS/CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.