Jacquelin Dawn Dewbre, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M0391 Issued in TX

Practice address

120 Hillcrest Medical Blvd Ste 100
Waco, TX 76712-8949

Phone

(254) 202-6100

Fax

(254) 202-6195

NPI assigned

Jan 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jacquelin Dawn Rabe Other name

Electronic endpoints 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdewbre44391@direct.sw.org

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

• Hillcrest Family Health Center

  • Family Medicine Physician
  • Waco, TX
  • NPI 1891796694

  Pediatrics

  Medicare reassignment NPD
• Soheil Hekmat, MD, Inc.

  • Specialist
  • Inglewood, CA
  • NPI 1588831374
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1346211893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848476",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848476",
            "telephone_number": "254-202-4655",
            "fax_number": "254-202-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HILLCREST MEDICAL BLVD STE 100",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128949",
            "telephone_number": "254-202-6100",
            "fax_number": "254-202-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Hillcrest Medical Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767128949",
            "country_code": "US",
            "telephone_number": "254-202-6100",
            "fax_number": "254-202-6195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Macarthur",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "76708",
            "country_code": "US",
            "telephone_number": "254-202-6100",
            "fax_number": "254-202-6195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEWBRE",
        "first_name": "JACQUELIN",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M0391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8H3678",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175870801",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdewbre44391@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 Hillcrest Medical Blvd Ste 100",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767128949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACQUELIN",
            "last_name": "RABE",
            "middle_name": "DAWN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Leigh Derrick, MSN, APRN, FNP-C
• Nelson D Destaffany, MD
• Betty Jane Devers, ED.D.
• Angela Jean Devinney, LPC
• Marisela Devora
• Rachael Dewey, RBT
• DFW Medical Transportation
• Salima Dhanani
• DHC Opco- Waco, LLC
• Diabetes & Endocrine Center of Central Texas PA

• Pediatrics Physician in Waco, TX
• Providers in Waco, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.

Verify at the official NPI Registry.