Anastasia Gallagher Jacobs, APRN FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

636469 Issued in TX

Practice address

2323 Riverway Oak Dr
Kingwood, TX 77345-2122

Phone

(281) 706-9232

Fax

(844) 899-4223

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Anastasia Elaine Gallagher Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• The Lady With the Lamp PLLC

  • Primary Care Clinic/Center
  • Kingwood, TX
  • NPI 1346636271
  Medicare reassignment NPD

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1982180402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 RIVERWAY OAK DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452122",
            "telephone_number": "281-706-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 RIVERWAY OAK DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773452122",
            "telephone_number": "281-706-9232",
            "fax_number": "844-899-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ANASTASIA",
        "middle_name": "GALLAGHER",
        "name_prefix": "Ms.",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "636469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANASTASIA",
            "last_name": "GALLAGHER",
            "middle_name": "ELAINE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Dawn Jackson, LCSW
• Marcia Jackson, LPC
• Mary Kathleen Jackson
• Melanie Jackson
• Rakeya Jackson, RBT
• Jenny Jacobs, LPC
• Sharona Jacobs, LCSW
• Antalisha Jacquet
• Mehri Jalali, M.D.
• James C. Heald M. D. P.a.

• Family Nurse Practitioner in Kingwood, TX
• Providers in Kingwood, 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 Jul 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.