Active NPI
Micki Jeffus
- Other Technician
- Bedford, TX
National Provider Identifier
1699228189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 3019 Bramble Oaks CT
Bedford, TX 76021-3426 - Phone
- (214) 476-5918
- NPI assigned
- Aug 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
3019 Bramble Oaks CT
Bedford, TX 76021-3426
Mailing address
3019 Bramble Oaks CT
Bedford, TX 76021-3426
Phone (214) 476-5918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470009600000",
"number": "1699228189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3019 BRAMBLE OAKS CT",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760213426",
"telephone_number": "214-476-5918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 BRAMBLE OAKS CT",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760213426",
"telephone_number": "214-476-5918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFUS",
"first_name": "MICKI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-01",
"last_updated": "2016-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.