Sandra F. Dejesus, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

764715 Issued in TX

Practice address

7777 Forest LN Ste C833
Dallas, TX 75230-2591

Phone

(972) 566-4591

Fax

(972) 566-6679

NPI assigned

Oct 2, 2012

Last updated

Aug 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beacon Behavioral of Texas PAGroup PAC ID 3678626256, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Beacon Behavioral of Texas PA

  dba Earthman Psychiatry & Addiction Medicine

  • Psychiatry Physician
  • Allen, TX
  • NPI 1053545335
  Medicare reassignment Care Compare group NPD
• Joel a. Holiner, MD PA

  dba Holiner Psychiatric Group

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1346259645
  Medicare reassignment NPD
• Beacon Behavioral of Texas PA

  dba Upswing Psychiatry

  • Psychiatry Physician
  • Amarillo, TX
  • NPI 1851129654
  NPD (past)

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1265783179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 LOCHAVEN DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750882923",
            "telephone_number": "214-793-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C833",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302591",
            "telephone_number": "972-566-4591",
            "fax_number": "972-566-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "SANDRA",
        "middle_name": "F.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "764715",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "764715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "764715",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP122354",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farbod Dehmami, MD
• Deirdre M Deignan, PT, DPT
• Nicole Deitschmann
• Tori Dejean, LOTR
• James Charles Dejesus IV
• Emanuel Heru Dejon
• Audrey Dejong
• Jessie Louise Dejong, APRN, CRNA
• Jahnabi Deka
• Angela Dekee, SLP

• Psychiatric/Mental Health Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.