Kelly Teague Jackson, APRN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1073035 Issued in TX

Practice address

2168 Spring Stuebner Rd Ste 270
Spring, TX 77389-5309

Phone

(346) 478-1976

NPI assigned

Apr 12, 2022

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jameson Bowles DO PLLCGroup PAC ID 3678804234, 11 clinicians

Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD

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.

• Jameson Bowles DO, PLLC

  dba Texas Urgent Care and Imaging Center

  • Urgent Care Clinic/Center
  • New Caney, TX
  • NPI 1225696164
  Medicare reassignment Care Compare group NPD
• Memorial Hermann Urgent Care PLLC

  dba Memorial Hermann-GoHealth Urgent Care

  • Family Medicine Physician
  • Sugar Land, TX
  • NPI 1730821208
  Medicare reassignment Care Compare group NPD
• Texas Imaging Center LLC

  dba Texas Urgent Care & Imaging Center

  • Radiology Clinic/Center
  • New Caney, TX
  • NPI 1952933012
  NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875
  NPD (past)

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1922740604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 SUNNY KNOLL CT",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393637",
            "telephone_number": "832-701-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 SPRING STUEBNER RD STE 270",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895309",
            "telephone_number": "346-478-1976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10961 Northwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770927305",
            "country_code": "US",
            "telephone_number": "713-686-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KELLY",
        "middle_name": "TEAGUE",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1073035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazzmin Jackson
• Jessica Nichole Jackson
• Joyce Marie Jackson, M.D.
• Kaitlin Denise Jackson
• Kaneisha Jackson
• Laurie J Jackson, CRNA
• Lea Ann Jackson, F.NP
• Leia Nicole Jackson, D.D.S
• Lisa Jackson, PCA
• Lychelle Kristine Jackson, FNP-C

• Family Nurse Practitioner in Spring, TX
• Providers in Spring, 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 Nov 1, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.