Individual provider Active NPI

Mistee Jefferies, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Temple, TX
National Provider Identifier
1255844791
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP135705 Issued in TX
Practice address
6544 S General Bruce Dr Ste a
Temple, TX 76502-5811
Phone
(512) 667-7506
Fax
(512) 667-6377
NPI assigned
Nov 7, 2017
Last updated
Jan 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP135705 TX Primary

Addresses

Primary practice location

6544 S General Bruce Dr Ste a
Temple, TX 76502-5811

Mailing address

1920 Corporate Dr Ste A101
San Marcos, TX 78666-6282
Phone (254) 383-9297

Other practice location 1

1920 Corporate Dr Ste A101
San Marcos, TX 78666-6282
Phone (512) 667-7506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1255844791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 CORPORATE DR STE A101",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786666282",
            "telephone_number": "254-383-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 S GENERAL BRUCE DR STE A",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025811",
            "telephone_number": "512-667-7506",
            "fax_number": "512-667-6377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 Corporate Dr Ste A101",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786666282",
            "country_code": "US",
            "telephone_number": "512-667-7506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERIES",
        "first_name": "MISTEE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP135705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; 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.