Betty John

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1030790 Issued in TX

Practice address

2309 W Rhin Dr
Edinburg, TX 78539-4343

Phone

(956) 534-7111

NPI assigned

Jul 14, 2021

Last updated

Jul 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1083286496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 W RHIN DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394343",
            "telephone_number": "956-534-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W RHIN DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394343",
            "telephone_number": "956-534-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "BETTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1030790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimenez Pediatrics
• Jimenez Pediatrics
• David Lee Jimenez, MD
• Gonzalo Jimenez, LCSW
• Michelle Ann Ibarra Jimenez, M.D.
• Greeshma Elizabeth John
• Cherie J Johnson, MD
• Rose J Johnson
• Loriann Jolet, LCDC
• Jon P. Patterson, D.C. P.C. (Patterson Chiropractic Clinic)

• Psychiatric/Mental Health Nurse Practitioner in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.