MRS. JACQUELINE MOUTON (NPI# 1851558639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851558639 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE MOUTON |
| Credential | PA-C |
| Practice Address |
21216 Northwest Fwy Suite 620 Cypress TX 77429-1439 |
| Practice Telephone | 2814697704 |
| Practice Fax Number | 2814694066 |
| Mailing Telephone | 2814697704 |
| Mailing Fax Number | 2814694066 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2012-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA05855 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00854 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21216 NORTHWEST FWY SUITE 620 |
| City | CYPRESS |
| State | TX |
| Zip Code | 77429-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354409 | Lin-lin Liu | Specialist | 21216 Northwest Fwy, Suite 230, Cypress, TX 77429-1439 | 2005-05-23 |
| 1386105955 | Deanna Salzer | Registered Nurse | 21216 Northwest Fwy, Cypress, TX 77429-1439 | 2019-03-27 |
| 1568948032 | Kph-consolidation, Inc. | Clinic/Center | 21216 Northwest Fwy, Cypress, TX 77429-1439 | 2018-07-17 |
| 1649718883 | Janine Rachael Zener | Physician Assistant | 21216 Northwest Fwy, Suite 550, Cypress, TX 77429-1439 | 2017-02-08 |
| 1649722927 | Laurent Gressot, Md, Pa | Internal Medicine | 21216 Northwest Fwy, Suite 203, Cypress, TX 77429-1439 | 2016-11-02 |
| 1982015368 | Maria Rosalba Medina | Registered Nurse | 21216 Northwest Fwy, Suite 440, Cypress, TX 77429-1439 | 2014-05-19 |
| 1720498041 | Cypress Women's Center | Clinic/Center | 21216 Northwest Fwy, Siute 520, Cypress, TX 77429-1439 | 2014-05-08 |
| 1043631666 | Carla Guice | Counselor | 21216 Northwest Fwy, Suite 450, Cypress, TX 77429-1439 | 2013-12-27 |
| 1609206788 | Jennifer Bimeler Jessen | Counselor | 21216 Northwest Fwy, Ste. 450, Cypress, TX 77429-1439 | 2013-11-26 |
| 1124365960 | Wound Care and Family Medicine Consultants Pllc | Family Medicine | 21216 Northwest Fwy, Suite 210, Cypress, TX 77429-1439 | 2013-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424757 | Jesus Ramon Jasso Jr. | Counselor | 2126 Northwest Freeway/21216 U.S. 290 West, Suite 450, Cypress, TX 77429 | 2020-07-08 |
| 1659911196 | Ffarzamllc | Dentist | 12430 Grant Road, Suite C, Cypress, TX 77429 | 2020-01-13 |
| 1467094136 | Bud Norita | Technician | 11111 Saathoff Dr., Apt. #422, Cypress, TX 77429 | 2019-10-14 |
| 1710529938 | Cypress Pediatric Occupational Therapy | Occupational Therapist | 12916 Malcomson Rd, Cypress, TX 77429 | 2019-10-09 |
| 1902460058 | Alison M Lampton | Counselor | 17920 Huffmeister Rd Ste 250, Cypress, TX 77429 | 2019-04-24 |
| 1295295699 | Ana Paula Mendez | Nurse Practitioner | 4216 Northwest Fwy, Suite 560, Cypress, TX 77429 | 2019-03-21 |
| 1952860371 | Andre Austin | Behavior Technician | 12110 Huffmeister, Cypress, TX 77429 | 2019-03-15 |
| 1598224917 | Tania Nguyen | Behavior Technician | 12110 Huffmeister Rd, Cypress, TX 77429 | 2019-03-15 |
| 1265903330 | Cypress Rosehill Family Dentistry, Pllc | Dentist | 15626 Cypress Rosehill Rd, Suite 300, Cypress, TX 77429 | 2018-12-16 |
| 1124597661 | Gordon Agawereh | Nurse Practitioner | 25801 Us-290, Cypress, TX 77429 | 2018-11-14 |
| Find all providers in zip 77429 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643176 | Hye Rin Cho | Physician Assistant | 5672 Citrus Ct, Cypress, CA 90630-3110 | 2020-06-15 |
| 1598326480 | Kendall Elwood | Physician Assistant | 13603 Gainesway Dr, Cypress, TX 77429-5126 | 2019-06-22 |
| 1750881389 | Nasir Ali | Physician Assistant | 7918 Summerfern Ct, Cypress, TX 77433-1891 | 2018-02-20 |
| 1720508542 | Khanh Truc Pham | Physician Assistant | 11122 Creekline Glen Ct., Cypress, TX 77429 | 2017-06-22 |
| 1972031409 | Elizabeth Nicole Knipp | Physician Assistant | 12530 Ravensway Dr, Cypress, TX 77429-2641 | 2017-05-29 |
| 1609116144 | Benjamin Sithen Sam | Physician Assistant | 22125 Cumberland Ridge Dr, Cypress, TX 77433-6494 | 2013-02-20 |
| 1184940397 | Cypress Springs Family Care Pllc | Physician Assistant | 7630 Rustic Lake Lane, Suite 300, Cypress, TX 77433 | 2010-04-13 |
| 1851565345 | Texas Em-1 Medical Services, Pa | Physician Assistant | 9110 Barker Cypress Ste 100, Cypress, TX 77433 | 2008-04-16 |
| 1700068020 | Mollee Johansen Wallace | Physician Assistant | 26265 Northwest Fwy, Cypress, TX 77429-1760 | 2007-11-28 |
| 1093827537 | Shelly L Rock | Physician Assistant | 21212 Northwest Fwy Ste 385, Cypress, TX 77429-5890 | 2006-08-31 |
| Find all providers in CYPRESS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.