Individual provider Active NPI

Ivane Jennifer Nava, APRN, FNP-BC

  • Family Nurse Practitioner
  • Dilley, TX
National Provider Identifier
1356933584
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1032011 Issued in TX
Practice address
606 W Leona St
Dilley, TX 78017-3705
Phone
(830) 965-1797
Fax
(830) 965-9913
NPI assigned
Feb 9, 2021
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1032011 TX Primary
Registered Nurse 163W00000X 789315 TX

Addresses

Primary practice location

606 W Leona St
Dilley, TX 78017-3705

Mailing address

606 W Leona St
Dilley, TX 78017-3705
Phone (830) 965-1797

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
I20211007000671 TX Order and Referring Only - Nurse Practitioner 3274931183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
789315TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1356933584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W LEONA ST",
            "city": "DILLEY",
            "state": "TX",
            "postal_code": "780173705",
            "telephone_number": "830-965-1797",
            "fax_number": "830-965-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W LEONA ST",
            "city": "DILLEY",
            "state": "TX",
            "postal_code": "780173705",
            "telephone_number": "830-965-1797",
            "fax_number": "830-965-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVA",
        "first_name": "IVANE",
        "middle_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1032011",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "789315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dilley, TX

Sources for this page

Verify at the official NPI Registry.