Individual provider Active NPI

Denise Armstead Jolly, FNP

  • Family Nurse Practitioner
  • Livingston, TX
National Provider Identifier
1629578307
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1152226 Issued in TX
Practice address
1615 W Church St Ste 100
Livingston, TX 77351-8862
Phone
(936) 209-2396
Fax
(936) 647-1651
NPI assigned
Feb 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1152226 TX Primary
Registered Nurse 163W00000X 947907 TX
Licensed Vocational Nurse 164X00000X 318851 TX

Addresses

Primary practice location

1615 W Church St Ste 100
Livingston, TX 77351-8862

Mailing address

1615 W Church St Ste 100
Livingston, TX 77352-8862
Phone (936) 209-2396

Other names 1

  • Denise Armstead Former name

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
I20250725001147 TX Practitioner - Nurse Practitioner 3779090717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLC 213 clinicians

Practice addresses (Care Compare)

1615 W Church St
Livingston, TX 77351-9004
Phone (888) 634-3627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
947907TXMDRegistered Nurse
318851TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Jul 15, 2025 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
TMC Provider Group PLLC CurrentSince Jul 15, 2025 Accepting new patients

Locations

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

1615 W Church St
Livingston, TX 77352
Phone (888) 634-3627

1615 W Church St
Ste 100
Livingston, TX 77352
Phone (936) 209-2396

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

Organizations & group practices 6

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": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1629578307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 W CHURCH ST STE 100",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773528862",
            "telephone_number": "936-209-2396",
            "fax_number": "936-647-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 W CHURCH ST STE 100",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773518862",
            "telephone_number": "936-209-2396",
            "fax_number": "936-647-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTEAD JOLLY",
        "first_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1152226",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "947907",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "318851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "ARMSTEAD",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.