Jamie Lynn Dhillon, MSN, CNS, AGNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95023752 Issued in CA

Practice address

1261 Travis Blvd Ste 320
Fairfield, CA 94533-4800

Phone

(707) 423-2506

NPI assigned

Dec 30, 2021

Last updated

Jan 14, 2023By 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

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner

State licenses

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.

• Gurinder S. Dhillon M D Professional Corporation

  • Specialist
  • Fairfield, CA
  • NPI 1477732899
  Medicare reassignment NPD
• Jayesh J. Patel M.D. Inc

  • Primary Care Clinic/Center
  • Fairfield, CA
  • NPI 1326236753
  NPD
• Harold Wagner DO PA

  dba Home Care Physicians

  • Geriatric Medicine (Family Medicine) Physician
  • Dallas, TX
  • NPI 1255438701
  NPD (past)
• Indelible Health & Wellness LLC

  dba Texas Visiting Doctors

  • Family Medicine Physician
  • Grand Prairie, TX
  • NPI 1245569946
  NPD (past)

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1417617580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 RANCHO DEL HAMBRE",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945492316",
            "telephone_number": "415-816-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD STE 320",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334800",
            "telephone_number": "707-423-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSN, CNS, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95023752",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "CA",
            "license": "3170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason C Devoe
• Rebecca Devoy
• Joya Dhaliwal
• Baljit Singh Dhillon, NP
• Gurinder S Dhillon, MD
• Rashminder K Dhillon, DDS
• Milind Dhond, M. D.
• DHP Anesthesia Medical Group Inc
• DHP of Northbay Medical Group Inc
• Gurpreet S. Dhugga, MD

• Primary Care Nurse Practitioner in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; 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.