Individual provider Active NPI

Jodi Leigh Fletcher, MSN, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • Orange, TX
National Provider Identifier
1992412704
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1097098 Issued in TX
Practice address
575 18TH Street Ste 4
Orange, TX 77632-9008
Phone
(409) 291-0118
Fax
(409) 225-5023
NPI assigned
Nov 1, 2022
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1097098 TX Primary

Addresses

Primary practice location

575 18TH Street Ste 4
Orange, TX 77632-9008

Mailing address

575 18TH Street Ste 4
Orange, TX 77632-9008
Phone (409) 291-0118

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230627000192 TX Practitioner - Nurse Practitioner 8729139688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

575 18TH St
Suite 4
Beaumont, TX 77706-5031
Phone (409) 225-5766

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fitt Medical Clinic PLLC CurrentSince Jul 1, 2024 Accepting new patients
Texas Sleep Clinic - BT PLLC CurrentSince Mar 15, 2023 Accepting new patients
Sleep Safe LLC PastSince Nov 1, 2022 Accepting new patients
Altus Home Health, LLC PastSince Dec 31, 2011 Accepting new patients

Locations

575 18th St
Ste 4
Beaumont, TX 77706
Phone (409) 225-5766

810 Hospital Dr
Ste 235
Beaumont, TX 77701
Phone (409) 790-7841

1307 8th Ave
Ste 404
Ft Worth, TX 76104
Phone (409) 833-9241

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13821/brand/2/csg/1/fhir/r4
  • Direct secure messaging: jodi.fletcher.1@31727.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1992412704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 18TH STREET STE 4",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776329008",
            "telephone_number": "409-291-0118",
            "fax_number": "409-225-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 18TH STREET STE 4",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776329008",
            "telephone_number": "409-291-0118",
            "fax_number": "409-225-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "JODI",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1097098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

Verify at the official NPI Registry.