Jijimol E John, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137154 Issued in TX

Practice address

2535 Charlotte St
Denton, TX 76201-3301

Phone

(940) 566-1200

NPI assigned

Sep 26, 2018

Last updated

Sep 26, 2018By 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 1

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

Nurse Practitioner

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.

• Dallas Center for Sleep Disorders, P.a.

  dba Dallas Sleep

  • Sleep Disorder Diagnostic Clinic/Center
  • Plano, TX
  • NPI 1194744276
  Medicare reassignment NPD

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1568947448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 CHARLOTTE ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 CHARLOTTE ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013301",
            "telephone_number": "940-566-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "JIJIMOL",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Allen Van Wagoner M.D. P.a. (Southwest Allergy & Asthma Center)
• John D White DDS, Inc
• John R. Everett (Acoustic Hearing Solutions)
• John S Kristoferson MD PA
• John Shelton, M.D. P. a.
• Brittney Johnson
• Camille Johnson, M.D.
• Claire Johnson
• George William Johnson Jr., M.D.
• Jewel Johnson

• Family Nurse Practitioner in Denton, TX
• Providers in Denton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.