Jeflyn D Tate, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

452071 Issued in TX

Practice address

1301 Memorial Dr
Bryan, TX 77802-5205

Phone

(979) 731-4520

NPI assigned

Jan 23, 2010

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

Specialty

Nurse Practitioner

Education

University of Texas Southwestern Medical School at Dallas, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brazos Valley Community Action Agency IncGroup PAC ID 4284542127, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

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 and National Provider Directory roles.

• Brazos Valley Community Action Agency, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bryan, TX
  • NPI 1649265646
  Medicare reassignment Care Compare group NPD
• Brazos Valley Community Action Agency, Inc.

  • Federally Qualified Health Center (FQHC)
  • Navasota, TX
  • NPI 1700973187
  NPD
• Brazos Valley Community Action Agency, Inc.

  • Federally Qualified Health Center (FQHC)
  • Caldwell, TX
  • NPI 1609150465
  NPD (past)

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

{
    "created_epoch": "1264204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1598096059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 UNIVERSITY DR E",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778402600",
            "telephone_number": "979-810-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MEMORIAL DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025205",
            "telephone_number": "979-731-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "JEFLYN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-23",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "4-52071",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "452071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick S Tan, MD
• Nathan Tanous
• Felisha Tapia, LMSW
• Brittney Tappe
• Sybil Jane Taquet, MD
• Latasha N Tates, PTA
• Andrea Taylor, PA
• Jerral Dewayne Taylor, PHD
• Penelope Taylor
• Ronzedrea Kache Taylor

• Women's Health Nurse Practitioner in Bryan, TX
• Providers in Bryan, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.