Active NPI
Dexhelyn Mae Lim
- Family Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1801413471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95014425
- Practice address
- 584 Castro St Ste 3070
San Francisco, CA 94114-2512 - Phone
- (888) 708-0561
- Fax
- (404) 719-4281
- NPI assigned
- Jun 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1194223 | TX | |
| Family Nurse Practitioner | 363LF0000X | APN.1000613-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 866638 | NV | |
| Family Nurse Practitioner | 363LF0000X | 10041390 | OR | |
| Family Nurse Practitioner | 363LF0000X | 356388 | NY | |
| Family Nurse Practitioner | 363LF0000X | 14158069-4405 | UT | |
| Family Nurse Practitioner | 363LF0000X | 95014425 | CA | Primary |
| Family Nurse Practitioner | 363LF0000X | 4704430527 | MI |
Addresses
Primary practice location
584 Castro St Ste 3070
San Francisco, CA 94114-2512
Mailing address
4560 Mount Taylor Dr
Santa Rosa, CA 95404-6225
Phone (415) 283-4371
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95014425 | CA | MD | Family Nurse Practitioner |
| APN.1000613-NP | CO | MD | Family Nurse Practitioner |
| 4704430527 | MI | MD | Family Nurse Practitioner |
| 866638 | NV | MD | Family Nurse Practitioner |
| 356388 | NY | MD | Family Nurse Practitioner |
| 10041390 | OR | MD | Family Nurse Practitioner |
| 1194223 | TX | MD | Family Nurse Practitioner |
| 14158069-4405 | UT | MD | Family Nurse Practitioner |
Interoperability endpoints
- dexhelyn.lim.1@19960.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1801413471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 MOUNT TAYLOR DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954046225",
"telephone_number": "415-283-4371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 CASTRO ST STE 3070",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941142512",
"telephone_number": "888-708-0561",
"fax_number": "404-719-4281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "DEXHELYN MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1194223",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.1000613-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "866638",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10041390",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "356388",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "14158069-4405",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95014425",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704430527",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.