Individual provider Active NPI

Jolie C. Sanchez, APRN

  • Adult Health Clinical Nurse Specialist
  • Round Rock, TX
National Provider Identifier
1679780639
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
AP116006 Issued in TX
Practice address
170 Deepwood Dr
Round Rock, TX 78681-4944
Phone
(512) 458-8400
Fax
(512) 458-8593
NPI assigned
May 17, 2007
Last updated
Feb 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 720974 TX
Adult Health Clinical Nurse Specialist 364SA2200X AP116006 TX Primary

Addresses

Primary practice location

170 Deepwood Dr
Round Rock, TX 78681-4944

Mailing address

6500 N. Mopac
Building 3, Suite 200
Austin, TX 78731
Phone (512) 458-8400

Other identifiers 1

IdentifierTypeStateIssuer
188496701MedicaidTX

Other names 1

  • Jolie C. Green 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
I20071011000264 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 8325134075 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
720974TXMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health Medical Group LLC CurrentSince Jul 1, 2013 Accepting new patients
Hni Medical Services CurrentSince Jul 1, 2013 Accepting new patients
Austin Diagnostic Clinic PastSince Jul 1, 2013 Accepting new patients

Locations

12021 Metric Blvd
#I
Austin, TX 78758
Phone (512) 228-3300

3901A Spicewood Springs Rd
Ste 201
Austin, TX 78759
Phone (737) 226-6713

512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1679780639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 N. MOPAC",
            "address_2": "BUILDING 3, SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-458-8400",
            "fax_number": "512-458-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 DEEPWOOD DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814944",
            "telephone_number": "512-458-8400",
            "fax_number": "512-458-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JOLIE",
        "middle_name": "C.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "720974",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "AP116006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188496701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLIE",
            "last_name": "GREEN",
            "middle_name": "C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.