Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134682347 Individual Practitioner Female Practitioner

Liciamma Jacob

Nurse Practitioner • Pasadena, TX

Professional Overview & Biography Verified Profile Summary

Liciamma Jacob is a registered healthcare professional specializing in Nurse Practitioner in Pasadena, TX. Practice services are available at 4600 E SAM HOUSTON PKWY S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4600 E Sam Houston Pkwy S

Pasadena, TX 775053948

Telephone 7139487388
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Pasadena, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
20 Specialists

Practicing in Pasadena, TX (4894 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX AP138632

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Kyle Little , CRNA, DNP

Nurse Anesthetist, Certified Registered

NPI 1023801420

Certified Registered Nurse Anesthetist, Doctor of Nursing Practice

Dr. Susan Weathers , MD

Radiology - Diagnostic Radiology

NPI 1043252133

Doctor of Medicine (M.D.)

Dr. Fanny Moron , MD

Radiology - Diagnostic Radiology

NPI 1093759193

Doctor of Medicine (M.D.)

Dr. Pedro Diaz-Marchan , MD

Radiology - Diagnostic Radiology

NPI 1225070311

Doctor of Medicine (M.D.)

Johnna Cacace , NP-C

Nurse Practitioner - Family

NPI 1265958250

Nurse Practitioner (Certified)

Dr. Richard Fisher , MD

Radiology - Diagnostic Radiology

NPI 1376534354

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 13, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2019

Registered at 4600 E SAM HOUSTON PKWY S, PASADENA, TX 775053948 (Tel: 7139487388)

📍
Updated Business Mailing Address April 13, 2019

Registered at 2708 RAVEN RIDGE DR, PEARLAND, TX 775843442 (Tel: 7134361818)

👤
Provider Name / Credentials Updated April 13, 2019

Recorded as LICIAMMA JACOB

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2019

Nurse Practitioner (License #AP138632 in TX)

🟢
Initial NPI Registration & Enumeration April 13, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Liciamma Jacob. Be the first to share your experience!

Sign in to leave a review for Liciamma Jacob

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1134682347
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2019
Last Update: April 13, 2019
Sole Proprietor: Yes

Mailing Address

2708 Raven Ridge Dr

Pearland, TX 775843442

Phone: 7134361818

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.