Active NPI
Faith Abigail D Nimer, D.O.
- Hospitalist Physician
- Fort Cavazos, TX
National Provider Identifier
1215290945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- DOS-1584
- Practice address
- 590 Medical Center Rd
Department of Medicine - Crdamc
Fort Cavazos, TX 76544-5095 - Phone
- (254) 553-0270
- NPI assigned
- Jun 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | DOS-1584 | HI | Primary |
| Internal Medicine Physician | 207R00000X | DOS-1584 | HI |
Addresses
Primary practice location
590 Medical Center Rd
Department of Medicine - Crdamc
Fort Cavazos, TX 76544-5095
Mailing address
590 Medical Center Rd
Department of Medicine - Crdamc
Fort Cavazos, TX 76544
Phone (254) 553-0270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150625000408 | HI | Order and Referring Only - Internal Medicine | 5698086197 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS-1584 | HI | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1215290945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 MEDICAL CENTER RD",
"address_2": "DEPARTMENT OF MEDICINE - CRDAMC",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-553-0270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 MEDICAL CENTER RD",
"address_2": "DEPARTMENT OF MEDICINE - CRDAMC",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "765445095",
"telephone_number": "254-553-0270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMER",
"first_name": "FAITH",
"middle_name": "ABIGAIL D",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-18",
"last_updated": "2023-06-29",
"certification_date": "2023-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "HI",
"license": "DOS-1584",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "DOS-1584",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Cavazos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.