Active NPI
Jeanelle Shalow
- Licensed Vocational Nurse
- Sealy, TX
National Provider Identifier
1952889321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 206207
- Practice address
- 119 Lazy LN Apt a
Sealy, TX 77474-3535 - Phone
- (281) 845-1387
- NPI assigned
- Jul 29, 2018
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 206207 | TX | Primary |
Addresses
Primary practice location
119 Lazy LN Apt a
Sealy, TX 77474-3535
Mailing address
11929 University Blvd Ste 2M
Sugar Land, TX 77479-4757
Phone (281) 238-8775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206207 | Other | TX | TEXAS BOARD OF NURSING |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 206207 | TX | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consolidated Home Health Holdings, LLC | Past | Accepting new patients |
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.
-
- Home Health Agency
- Sugar Land, TX
- NPI 1811947278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532822400000",
"number": "1952889321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11929 UNIVERSITY BLVD STE 2M",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794757",
"telephone_number": "281-238-8775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 LAZY LN APT A",
"city": "SEALY",
"state": "TX",
"postal_code": "774743535",
"telephone_number": "281-845-1387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHALOW",
"first_name": "JEANELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-29",
"last_updated": "2018-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "206207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF NURSING",
"identifier": "206207",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sealy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.