Individual provider Active NPI

Jana Nichole Stewart, FNP

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1649941204
Registry record updated Apr 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1071222 Issued in TX
Practice address
1850 Hickory St Ste 103
Abilene, TX 79601-2334
Phone
(325) 268-4122
NPI assigned
Sep 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 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 1071222 TX Primary

Addresses

Primary practice location

1850 Hickory St Ste 103
Abilene, TX 79601-2334

Mailing address

1406 N Avenue J
Haskell, TX 79521-3336
Phone (940) 207-0068

Other practice location 1

1406 N Avenue J
Haskell, TX 79521-3336
Phone (940) 207-0068

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
I20220310000529 TX Practitioner - Nurse Practitioner 8022403088 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1071222TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Feb 18, 2022 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Feb 18, 2022 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

8940 Coit Rd
Plano, TX 75025
Phone (972) 335-3280

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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650758400000",
    "number": "1649941204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 N AVENUE J",
            "city": "HASKELL",
            "state": "TX",
            "postal_code": "795213336",
            "telephone_number": "940-207-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST STE 103",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012334",
            "telephone_number": "325-268-4122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 N Avenue J",
            "address_purpose": "LOCATION",
            "city": "Haskell",
            "state": "TX",
            "postal_code": "795213336",
            "country_code": "US",
            "telephone_number": "940-207-0068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JANA",
        "middle_name": "NICHOLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2022-04-24",
        "certification_date": "2022-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1071222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.