Individual provider Active NPI

Jaimee Stallmer, RN

  • Registered Nurse
  • Southlake, TX
National Provider Identifier
1376447995
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
868186 Issued in TX
Practice address
509 Coyote Rd
Southlake, TX 76092-1979
Phone
(480) 770-6076
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 868186 TX Primary

Addresses

Primary practice location

509 Coyote Rd
Southlake, TX 76092-1979

Mailing address

509 Coyote Rd
Southlake, TX 76092-1979
Phone (480) 770-6076

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1376447995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 COYOTE RD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921979",
            "telephone_number": "480-770-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 COYOTE RD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921979",
            "telephone_number": "480-770-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLMER",
        "first_name": "JAIMEE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "868186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.