JASPER FAMILY MEDICINE
NPI 1215194303
Nurse Practitioner in Jasper, TX

Active since May 18, 2008
150 W GIBSON ST, JASPER, TX 75951(409) 384-1700(409) 384-1701 Get Directions Write a Review

NPPES record last updated: November 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jasper Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASPER FAMILY MEDICINE (NPI 1215194303) is a healthcare organization registered as a nurse practitioner in Jasper, Texas and active in the NPI registry since May 2008. The organization lists Elizabeth Ann Benton, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1215194303
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameJASPER FAMILY MEDICINE
Location Address150 W GIBSON STJasper, TX 75951-4936
Mailing Address150 W Gibson StJasper, TX 75951-4936 · (409) 384-1700 · Fax (409) 384-1701
Fax(409) 384-1701
Organization SubpartNo
Authorized OfficialElizabeth Ann BentonSole Owner · (281) 220-7549
Enumeration DateMay 18, 2008
Last NPPES UpdateNovember 14, 2008
NPI 1215194303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TX · 676518
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedPsychologistTaxonomy 103T00000X · License 1163 (TX)
Also ListedFamily MedicineTaxonomy 207Q00000X · License K4930 (TX)
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA03271 (TX)
150 W GIBSON ST, Jasper, TX 75951

Other Identifiers 1

Medicare PIN00Z575TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Magnetic Resonance Imaging (MRI))
150 W GIBSON ST
JASPER, TX 75951
Chiropractor
150 W GIBSON ST
JASPER, TX 75951

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jasper Family Medicine's NPI number?

The NPI number for Jasper Family Medicine is 1215194303. It was assigned to this organization in the NPPES registry on May 18, 2008.

Where is Jasper Family Medicine located?

Jasper Family Medicine is located at 150 W Gibson St, Jasper, TX 75951. The listed phone number is (409) 384-1700.

What is Jasper Family Medicine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jasper Family Medicine was last updated on November 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.