Active NPI
Javier Fragoso Fleitas, RN
- Registered Nurse
- Odessa, TX
National Provider Identifier
1467325837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1189974
- Practice address
- 8640 Hunter Miller Way Apt 1217
Odessa, TX 79765-8761 - Phone
- (305) 339-1721
- NPI assigned
- Sep 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 1189974 | TX | |
| Ambulatory Care Registered Nurse | 163WP2201X | 1189974 | TX | |
| Infusion Therapy Registered Nurse | 163WI0500X | 1189974 | TX | |
| Nutrition Support Registered Nurse | 163WN1003X | 1189974 | TX | |
| Registered Nurse | 163W00000X | 1189974 | TX | Primary |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 1189974 | TX |
Addresses
Primary practice location
8640 Hunter Miller Way Apt 1217
Odessa, TX 79765-8761
Mailing address
8640 Hunter Miller Way Apt 1217
Odessa, TX 79765-8761
Phone (305) 339-1721
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1189974 | TX | MD | Infusion Therapy Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1467325837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8640 HUNTER MILLER WAY APT 1217",
"city": "ODESSA",
"state": "TX",
"postal_code": "797658761",
"telephone_number": "305-339-1721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8640 HUNTER MILLER WAY APT 1217",
"city": "ODESSA",
"state": "TX",
"postal_code": "797658761",
"telephone_number": "305-339-1721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAGOSO FLEITAS",
"first_name": "JAVIER",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-24",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TX",
"license": "1189974",
"primary": false
},
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "TX",
"license": "1189974",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "TX",
"license": "1189974",
"primary": false
},
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "TX",
"license": "1189974",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "TX",
"license": "1189974",
"primary": true
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "TX",
"license": "1189974",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.