Individual provider Active NPI

Jasmine Azghani Vardeman, NP-C

  • Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1548800022
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP142404 Issued in TX
Practice address
800 E Dawson St
Tyler, TX 75701-2036
Phone
(903) 593-8441
NPI assigned
Jan 13, 2020
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP142404 TX Primary

Addresses

Primary practice location

800 E Dawson St
Tyler, TX 75701-2036

Mailing address

11902 White Deer TRL
Tyler, TX 75703-8144
Phone (903) 253-4481

Other practice location 1

619 S Fleishel Ave Ste 201
Tyler, TX 75701-2004
Phone (903) 606-7000

Other practice location 2

417 S Saunders Ave
Tyler, TX 75702-8344
Phone (903) 606-9173

Other practice location 3

910 E Houston St Ste 550
Tyler, TX 75702-8366
Phone (903) 606-8718

Other practice location 4

8591 S Broadway Ave
Tyler, TX 75703-5470
Phone (903) 606-8840

Other practice location 5

910 E Houston St Ste 100
Tyler, TX 75702-8363
Phone (903) 606-8718

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200205002230 TX Practitioner - Nurse Practitioner 5193151421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

910 E Houston St
550 Christus Trinity Clinic
Tyler, TX 75702-8366
Phone (903) 510-8718

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP142404TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jan 26, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jan 26, 2020 Accepting new patients
Mother Frances Hospital Regional Health Care Center Past Accepting new patients

Locations

417 S Saunders Ave
Tyler, TX 75702
Phone (903) 533-1491

619 S Fleishel Ave
Ste 201
Tyler, TX 75701
Phone (903) 593-0900

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

8591 S Broadway Ave
Tyler, TX 75703
Phone (903) 596-9173

910 E Houston St
Ste 550
Tyler, TX 75702
Phone (903) 510-8718

Interoperability endpoints

  • Direct secure messaging: jazghani36080@christushealth.direct-ci.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1548800022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11902 WHITE DEER TRL",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757038144",
            "telephone_number": "903-253-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DAWSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012036",
            "telephone_number": "903-593-8441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 S Fleishel Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012004",
            "country_code": "US",
            "telephone_number": "903-606-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 S Saunders Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757028344",
            "country_code": "US",
            "telephone_number": "903-606-9173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 E Houston St Ste 550",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757028366",
            "country_code": "US",
            "telephone_number": "903-606-8718",
            "fax_number": "903-606-1218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8591 S Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757035470",
            "country_code": "US",
            "telephone_number": "903-606-8840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 E Houston St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757028363",
            "country_code": "US",
            "telephone_number": "903-606-8718",
            "fax_number": "903-606-1218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZGHANI VARDEMAN",
        "first_name": "JASMINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.