Individual provider Active NPI

Jamie Valencia, NP

  • Family Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1669940268
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139492 Issued in TX
Practice address
1900 Scenic Dr Ste 2220
Georgetown, TX 78626-7703
Phone
(512) 819-0132
Fax
(512) 819-9335
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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 AP139492 TX Primary

Addresses

Primary practice location

1900 Scenic Dr Ste 2220
Georgetown, TX 78626-7703

Mailing address

PO Box 679706
Dallas, TX 75267-9706
Phone (512) 819-0132

Other practice location 1

16030 Park Valley Dr Ste 201
Round Rock, TX 78681-3647
Phone (512) 334-2807

Other identifiers 1

IdentifierTypeStateIssuer
AP139492OtherTXNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP139492TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1669940268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679706",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752679706",
            "telephone_number": "512-819-0132",
            "fax_number": "512-819-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SCENIC DR STE 2220",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267703",
            "telephone_number": "512-819-0132",
            "fax_number": "512-819-9335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16030 Park Valley Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786813647",
            "country_code": "US",
            "telephone_number": "512-334-2807",
            "fax_number": "512-819-9335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "JAMIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP",
            "identifier": "AP139492",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.