Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Knickerbocker Lopez, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1356901623

Jennifer Knickerbocker Lopez, PHYSICIANASSISTANT is a Physician Assistant in The Colony, Texas. Qualified in 2019, 7 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2019

Practice location Address checks out

5702 Saintsbury Dr Apt 123
The Colony, TX 75056-5488
Phone: (316) 558-2341
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1356901623
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedJune 18, 2019
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in The Colony