Active NPI
Jennifer Montilla Reserva, NP
- Psychiatric/Mental Health Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1094977
- Practice address
- 7877 Willow Chase Blvd
Houston, TX 77070-5934 - Phone
- (832) 869-4818
- NPI assigned
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1094977 | TX | Primary |
Addresses
Primary practice location
7877 Willow Chase Blvd
Houston, TX 77070-5934
Mailing address
447 Woodhaven Forest Dr
Conroe, TX 77304-1792
Phone (936) 333-3523
Other practice location 1
902 Frostwood Dr Ste 201
Houston, TX 77024-2402
Phone (832) 869-4818
Other practice location 2
23838 Highway 59 N
Kingwood, TX 77339-1531
Phone (832) 869-4818
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone 8328694818235
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry of Texas PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Psychplus Medical Associates, PLLC | Current | Accepting new patients |
Locations
12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999
12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900
2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (956) 289-8200
1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361
3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166
902 Frostwood Dr
Ste 201
Houston, TX 77024
Phone (713) 932-7872
7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109
23838 Highway 59 N
Kingwood, TX 77339
Phone (832) 869-4814
Interoperability endpoints
- jennifer.reserva.1@13131.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1558118026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1932822285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 WOODHAVEN FOREST DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773041792",
"telephone_number": "936-333-3523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7877 WILLOW CHASE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770705934",
"telephone_number": "832-869-4818"
}
],
"practiceLocations": [
{
"address_1": "902 Frostwood Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770242402",
"country_code": "US",
"telephone_number": "832-869-4818",
"fax_number": "832-241-2902",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23838 Highway 59 N",
"address_purpose": "LOCATION",
"city": "Kingwood",
"state": "TX",
"postal_code": "773391531",
"country_code": "US",
"telephone_number": "832-869-4818",
"fax_number": "832-241-2902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RESERVA",
"first_name": "JENNIFER",
"middle_name": "MONTILLA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-21",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1094977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.