JADE MICHELE MAKARENKO CPNP
NPI 1790075422
Nurse Practitioner - Pediatrics in Houston, TX

Q: What is Jade Makarenko's NPI number?

The NPI number for Jade Makarenko is 1790075422. It was assigned to this individual provider in the NPPES registry on April 14, 2011. The provider is also known as Chrystal Grooms Cfnp.

Q: What is Jade Makarenko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Jade Makarenko was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since April 14, 2011

3200 SOUTHWEST FWY STE 2100, HOUSTON, TX 77027(833) 208-7770(833) 464-3584 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2024, Nov 5, 2024, May 19, 2023 (3 updates tracked since 2023).

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About Jade Michele Makarenko Cpnp NPPES

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

JADE MICHELE MAKARENKO CPNP (NPI 1790075422) is an individual pediatrics provider in Houston, Texas, licensed in Texas (739918) and active in the NPI registry since April 2011. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790075422

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJADE MICHELE MAKARENKOCredential: CPNP

Location Address3200 SOUTHWEST FWY STE 2100Houston, TX 77027-7525

Mailing Address220 Athens Way Ste 240Nashville, TN 37228-1311 · (832) 828-3600

Phone(833) 208-7770

Fax(833) 464-3584

Sole ProprietorNo

Enumeration DateApril 14, 2011

Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration

NPPES CertifiedNovember 21, 2024

✔ NPI 1790075422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in TX · 739918✔ Licensed in FL · APRN11028321

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 739918 (TX)

3200 SOUTHWEST FWY STE 2100, Houston, TX 77027

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Other Names 1

Former Name (1)Chrystal Grooms Cfnp

Secondary Practice Locations 2

Location 13109 W Dr Martin Luther King Jr Blvd Ste 350Tampa, FL 33607-6208 · Phone (833) 208-7770 · Fax (833) 450-0456

Location 2220 Athens Way Ste 240Nashville, TN 37228-1311 · Phone (833) 208-7770

Other Identifiers 2

Medicaid120437300FL

Medicaid1790075422TX

Other Providers at the Same Location NPPES 20

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

DR. BECKY C DORAN M.D.

Pediatrics