Individual provider Active NPI

Rebecca Olubunmi Jaiyesimi

  • Psychiatric/Mental Health Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1619677473
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1112311 Issued in TX
Practice address
1601 N Travis St
Sherman, TX 75092-3761
Phone
(903) 328-6556
NPI assigned
Mar 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1112311 TX Primary

Addresses

Primary practice location

1601 N Travis St
Sherman, TX 75092-3761

Mailing address

1601 N Travis St
Sherman, TX 75092-3761
Phone (903) 328-6556

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
I20240305002532 TX Practitioner - Nurse Practitioner 3870938426 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1400 N Coit Rd
Suite 1203
McKinney, TX 75071-6659
Phone (214) 393-5416

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oluyemi Aina, MD PLLC CurrentSince Feb 14, 2024 Accepting new patients
Mindoak Psychiatry PLLC Psychiatric/Mental Health CurrentSince Apr 27, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 Accepting new patients

Locations

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

1400 N Coit Rd
Ste 1203
McKinney, TX 75071
Phone (214) 393-5416

8751 Collin McKinney Pkwy
Ste 1102
McKinney, TX 75070
Phone (469) 885-3147

2601 N Cornerstone Dr
Sherman, TX 75092
Phone (903) 416-3000

1601 N Travis St
Sherman, TX 75092
Phone (903) 221-8015

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1619677473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N TRAVIS ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923761",
            "telephone_number": "903-328-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TRAVIS ST",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923761",
            "telephone_number": "903-328-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIYESIMI",
        "first_name": "REBECCA",
        "middle_name": "OLUBUNMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1112311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.