Individual provider Active NPI

Jasleen Kaur, PA-C

  • Physician Assistant
  • Conroe, TX
National Provider Identifier
1962913129
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
17002 Gleneagle Dr S
Conroe, TX 77385-4614
Phone
(832) 447-7123
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X PA11611 TX
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

17002 Gleneagle Dr S
Conroe, TX 77385-4614

Mailing address

17002 Gleneagle Dr S
Conroe, TX 77385-4614
Phone (832) 447-7123

Other practice location 1

1631 North Loop W Ste 610
Houston, TX 77008-1552
Phone (713) 880-8600

Other practice location 2

1150 W 25th St
Houston, TX 77008-1830
Phone (832) 464-5833

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11611TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Urgent Care LLC Past Accepting new patients
Cyfair Psychiatry PA PastSince Dec 13, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/25054/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1962913129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17002 GLENEAGLE DR S",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773854614",
            "telephone_number": "832-447-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17002 GLENEAGLE DR S",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773854614",
            "telephone_number": "832-447-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1631 North Loop W Ste 610",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770081552",
            "country_code": "US",
            "telephone_number": "713-880-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 W 25th St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770081830",
            "country_code": "US",
            "telephone_number": "832-464-5833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "JASLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2021-02-22",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "PA11611",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.