JACKIE DENISE COX, LVN — NPI 1104040450 (Licensed & Credentialed Licensed Vocational Nurse in CONROE, TX)

CMS-1500 Box 24J / 33a • NPI

1104040450

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

164X00000X

Licensed & Credentialed Licensed Vocational Nurse

Box 32 Service Location & ZIP+4

19221 INTERSTATE 45 S, SUITE 430, CONROE, TX, 77385-8756

✓ 9-Digit EDI 837 ZIP+4 (77385-8756)

Practice Phone & Referral Fax

(281) 419-1464

Fax: (281) 419-1312

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104040450 (JACKIE DENISE COX, LVN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104040450` (NPI-1 Individual Practitioner)
Provider / Legal Name	JACKIE DENISE COX, LVN
Plain-English Specialty	Licensed & Credentialed Licensed Vocational Nurse NUCC Code: `164X00000X` (Licensed Vocational Nurse)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	19221 INTERSTATE 45 S, SUITE 430, CONROE, TX, 77385-8756
Practice Telephone / Fax	Tel: (281) 419-1464 \| Fax: (281) 419-1312
Administrative Mailing Address	12416 LYRA DR, WILLIS, TX, 77318-5139
Enumeration & Last Sync	Enumerated: 2007-04-11 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

19221 INTERSTATE 45 S, SUITE 430, CONROE, TX, 77385-8756

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Plain-English Taxonomy & CMS Crosswalk (164X00000X)

What Does Taxonomy Code 164X00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 164X00000X translates to:
"Licensed & Credentialed Licensed Vocational Nurse"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Licensed Vocational Nurse for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JACKIE DENISE COX, LVN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`164X00000X` — Licensed Vocational Nurse Plain English: Licensed & Credentialed Licensed Vocational Nurse	State: TX \| License: `150924` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JACKIE DENISE COX, LVN (NPI #1104040450)