Active Ketamine, PLLC
NPI 1073259156 · Pain Medicine (Psychiatry & Neurology) Physician · Houston, TX
Active Ketamine, PLLC is a Pain Medicine (Psychiatry & Neurology) Physician organization in Houston, TX (NPI 1073259156).
Provider details
- NPI number
- 1073259156
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jared Heathman, Managing Member(281) 201-4511
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-05-11
- Last updated
- 2022-05-11
- Certified
- 2022-05-11
Frequently asked questions
- What is Active Ketamine, PLLC's NPI number?
- Active Ketamine, PLLC's National Provider Identifier (NPI) is 1073259156, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Ketamine, PLLC?
- Active Ketamine, PLLC is classified in the NPPES registry as Pain Medicine (Psychiatry & Neurology) Physician (Allopathic & Osteopathic Physicians).
- Where is Active Ketamine, PLLC located?
- Active Ketamine, PLLC's practice location on file with NPPES is 12250 Queenston Blvd Ste E, Houston, TX 77095-5343.
- What is Active Ketamine, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Active Ketamine, PLLC is (281) 201-4511.
- Who is the authorized official for Active Ketamine, PLLC?
- The authorized official listed on Active Ketamine, PLLC's NPPES record is Jared Heathman, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Ketamine, PLLC's NPI active?
- Yes — Active Ketamine, PLLC's NPI (1073259156) is active in the NPPES registry as of the last update on 2022-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.