Individual provider Active NPI

Jimmy Lance Spakes II, FNP-BC

  • Family Nurse Practitioner
  • Temple, TX
National Provider Identifier
1184126997
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136162 Issued in TX
Practice address
2112 SW H K Dodgen Loop Ste 110
Temple, TX 76504-7011
Phone
(877) 800-5722
NPI assigned
Mar 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136162 TX Primary

Addresses

Primary practice location

2112 SW H K Dodgen Loop Ste 110
Temple, TX 76504-7011

Mailing address

590 Medical Center Road
Fort Cavazos, TX 76544
Phone (254) 553-0627

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jimmy.l.spakes3.civ@health.mil

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180530001181 TX Practitioner - Nurse Practitioner 4688939366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP136162TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Rural Health Clinic, PA Family Medicine CurrentSince May 7, 2018 Accepting new patients

Locations

2401 Walker Place Blvd
Ste 300
Copperas Cove, TX 76522
Phone (254) 547-7777

187 Private Road 4060
#200
Lampasas, TX 76550
Phone (512) 556-3621

207 W Avenue E
Lampasas, TX 76550
Phone (512) 556-3621

Interoperability endpoints

  • Direct secure messaging: jimmy.spakes.p1@direct.lscctx.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1184126997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER ROAD",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-553-0627",
            "fax_number": "254-680-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 SW H K DODGEN LOOP STE 110",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047011",
            "telephone_number": "877-800-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAKES",
        "first_name": "JIMMY",
        "middle_name": "LANCE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-07",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jimmy.l.spakes3.civ@health.mil",
            "affiliation": "N",
            "address_1": "590 Medical Center Road",
            "city": "Fort Cavazos",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.