Active NPI
Jennifer Rebecca Tuley
- Surgical Assistant
- Houston, TX
National Provider Identifier
1992002331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 10039 Bissonnet St
Suite 250
Houston, TX 77036-7854 - Phone
- (309) 831-5706
- NPI assigned
- Feb 21, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary | ||
| Surgical Technologist | 246ZS0410X | 237000096 | IL |
Addresses
Primary practice location
10039 Bissonnet St
Suite 250
Houston, TX 77036-7854
Mailing address
10039 Bissonnet St
Suite 250
Houston, TX 77036-7854
Phone (309) 831-5706
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 |
|---|---|---|---|
| 237000096 | IL | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1992002331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10039 BISSONNET ST",
"address_2": "SUITE 250",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770367854",
"telephone_number": "309-831-5706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10039 BISSONNET ST",
"address_2": "SUITE 250",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770367854",
"telephone_number": "309-831-5706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULEY",
"first_name": "JENNIFER",
"middle_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-21",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "IL",
"license": "237000096",
"primary": false
}
],
"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 Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.