Individual provider Active NPI

Deisy Ali Jaimes-Jaimes, DNP, FNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1649912320
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1071150 Issued in TX
Practice address
2909 N Ih 35
Austin, TX 78722-2304
Phone
(512) 478-2939
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1071150 TX Primary

Addresses

Primary practice location

2909 N Ih 35
Austin, TX 78722-2304

Mailing address

11025 Doyle Overton Rd Unit 23
Del Valle, TX 78617-5349
Phone (512) 299-5565

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
I20221214000012 TX Practitioner - Nurse Practitioner 5890164859 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peoples Community Clinic Inc Current Accepting new patients
People'S Community Clinic, Inc. CurrentSince Sep 1, 2022 Accepting new patients

Locations

2909 N Interstate 35
Austin, TX 78722
Phone (512) 478-4939

10335 US Highway 290 E
Bldg 35
Manor, TX 78653
Phone (512) 478-4939

Interoperability endpoints

  • Direct secure messaging: djaimes668659@direct.ochin.org

Organizations & group practices 2

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1649912320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 DOYLE OVERTON RD UNIT 23",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "786175349",
            "telephone_number": "512-299-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 N IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787222304",
            "telephone_number": "512-478-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIMES-JAIMES",
        "first_name": "DEISY",
        "middle_name": "ALI",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1071150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.