Dayana Noemi Jacome, AGACNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1061192 Issued in TX

Practice address

102 Medical Park LN Ste a
Huntsville, TX 77340-4975

Phone

(936) 294-0971

Fax

(936) 294-0977

NPI assigned

Apr 28, 2022

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Greater Houston Kidney Clinic PA

  dba Focus Kidney Care

  • Nephrology Physician
  • Humble, TX
  • NPI 1477947273
  Medicare reassignment NPD
• Noble Healthcare Associates PA

  • Internal Medicine Physician
  • Kingwood, TX
  • NPI 1073378600
  NPD

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1801531470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 HARTWICK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770161412",
            "telephone_number": "713-357-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MEDICAL PARK LN STE A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404975",
            "telephone_number": "936-294-0971",
            "fax_number": "936-294-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOME",
        "first_name": "DAYANA",
        "middle_name": "NOEMI",
        "name_prefix": "Ms.",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1061192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infinite Vision, PLLC
• Interdiscipliinary Pain Management
• Internal Medicine Associates of Huntsville, PLLC
• Ja Robles & Associates Inc
• Dhanya Mary Jacob, DO
• David S Jang
• Alannah Jenkins, M.S. SLP INTERN
• John E Pinkstaff M D PLLC
• Kellie Diann Johnson
• Melissa T Johnson, PHARM.D., BCPS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.