Jennifer Ybarra Dimas, MSN, APRN, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP1394400 Issued in TX

Practice address

94 Briggs St Ste 400
San Antonio, TX 78224-1206

Phone

(210) 922-2299

NPI assigned

Feb 2, 2019

Last updated

Jun 20, 2022By 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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.dimas.p1@direct.centromed.nextgenshare.com

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.

• El Centro del Barrio, Inc.

  dba CentroMed South Park Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1538264429
  Medicare reassignment NPD
• El Centro del Barrio

  dba CentroMed

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1316126675
  NPD
• El Centro del Barrio, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1861211567
  NPD
• Cibolo-South Texas Center for Pediatric Care

  • Pediatrics Physician
  • Cibolo, TX
  • NPI 1184102147
  NPD (past)
• El Centro del Barrio, Inc.

  dba Dullnig House Clinic

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1154495182
  NPD (past)

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

{
    "created_epoch": "1549065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1548725658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13750 SAN PEDRO AVE STE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324382",
            "telephone_number": "210-561-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 BRIGGS ST STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241206",
            "telephone_number": "210-922-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMAS",
        "first_name": "JENNIFER",
        "middle_name": "YBARRA",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-02",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP1394400",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP139440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Dilworth, LPC-AT
• Anthony Dimaio
• Jacquelyn Dimanlig Agcaoili, PT
• Hannah Dimarco
• Divina Dimas, AGACNP
• Sonia Dimas, PHD, LPC, NCC
• Dominic Dimascia, OD
• Roland Manuel Dimaya
• Rogend Dimayuga
• Dimension Anesthesia PLLC

• Pediatric Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.