Individual provider Active NPI

Jennifer Dohogne, FNP-BC

  • Family Nurse Practitioner
  • Selma, TX
National Provider Identifier
1235928169
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
869712 Issued in TX
Practice address
16202 Amberly CT
Selma, TX 78154-3865
Phone
(210) 863-8990
NPI assigned
May 6, 2025
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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 869712 TX Primary

Addresses

Primary practice location

16202 Amberly CT
Selma, TX 78154-3865

Mailing address

16202 Amberly CT
Selma, TX 78154-3865
Phone (210) 863-8990

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
I20250620000441 TX Order and Referring Only - Nurse Practitioner 1658883277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICEADD/Endpoint/ICEADD

NPI Registry JSON

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1235928169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16202 AMBERLY CT",
            "city": "SELMA",
            "state": "TX",
            "postal_code": "781543865",
            "telephone_number": "210-863-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16202 AMBERLY CT",
            "city": "SELMA",
            "state": "TX",
            "postal_code": "781543865",
            "telephone_number": "210-863-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHOGNE",
        "first_name": "JENNIFER",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "869712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, TX

Sources for this page

Verify at the official NPI Registry.