Jene Rae Llasos, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP134027 Issued in TX

Practice address

313 N Daniel Salinas Blvd Ste D
Donna, TX 78537-2929

Phone

(956) 461-2150

NPI assigned

Jul 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shary Gardens Pediatrics

  • Pediatrics Physician
  • Mission, TX
  • NPI 1932445913
  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1710401856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N DANIEL SALINAS BLVD STE D",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N DANIEL SALINAS BLVD STE D",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372929",
            "telephone_number": "956-461-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 E Griffin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785723101",
            "country_code": "US",
            "telephone_number": "956-599-9464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLASOS",
        "first_name": "JENE",
        "middle_name": "RAE",
        "name_prefix": "Miss",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Poinsetta Provider Services,Inc.
• Corina Perez Lavin, MA CCC-SLP
• Cynthia Leal, SLP ASSISTANT
• Lifechek Denison, LLC
• Little Sprouts Rehabilitation
• Longevity Family Wellness Clinic PLLC
• Annette Sarahi Lopez, OTR
• Arlene Lozano
• Yajaira Lozano, SLP-ASSISTANT
• Luciano Lopez

• Nurse Practitioner in Donna, TX
• Providers in Donna, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.