Individual provider Active NPI

Faith Abigail D Nimer, D.O.

  • Hospitalist Physician
  • Fort Cavazos, TX
National Provider Identifier
1215290945
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DOS-1584 Issued in HI
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

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150625000408 HI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5698086197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DOS-1584HIMDHospitalist 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

Verify at the official NPI Registry.