Individual provider Active NPI

Jimere Jontelle Sayon

  • Licensed Vocational Nurse
  • Windcrest, TX
National Provider Identifier
1386247773
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
308648 Issued in TX
Practice address
5121 Crestway Rd Ste 200B
Windcrest, TX 78239-1975
Phone
(210) 310-3864
NPI assigned
Nov 18, 2020
Last updated
Nov 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 308648 TX Primary

Addresses

Primary practice location

5121 Crestway Rd Ste 200B
Windcrest, TX 78239-1975

Mailing address

8332 Chasemont CT
Converse, TX 78109-3860
Phone (210) 371-2140

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
308648TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Treatment Center of San Antonio, PLLC PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1386247773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8332 CHASEMONT CT",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093860",
            "telephone_number": "210-371-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 CRESTWAY RD STE 200B",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782391975",
            "telephone_number": "210-310-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYON",
        "first_name": "JIMERE",
        "middle_name": "JONTELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "308648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windcrest, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.