Individual provider Active NPI

Jennifer St.John, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • McKinney, TX
National Provider Identifier
1861789828
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
Q3810 Issued in TX
Practice address
5220 W. University Drive
Ste 250
McKinney, TX 75071
Phone
(469) 800-5400
Fax
(469) 800-5388
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5119 OK
Endocrinology, Diabetes & Metabolism Physician 207RE0101X Q3810 TX Primary

Addresses

Primary practice location

5220 W. University Drive
Ste 250
McKinney, TX 75071

Mailing address

5220 W. University Drive
Ste 250
McKinney, TX 75071
Phone (469) 800-5400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstjohn225978@direct.sw.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151201001170 TX Practitioner - Endocrinology 4587964390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

5236 W University Dr
2200 Endocrinolog Specialists of McKinne
McKinney, TX 75071-8113
Phone (469) 800-5400

5236 W University Dr
Suite 1500
McKinney, TX 75071-8108
Phone (469) 800-5100

5252 W University Dr
McKinney, TX 75071-7822
Phone (469) 764-6950

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
Healthtexas Provider Network CurrentSince Oct 6, 2015 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 6, 2015 Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

5236 W University Dr
Ste 2200
McKinney, TX 75071
Phone (469) 800-5325

5220 W University Dr
Ste 250
McKinney, TX 75071
Phone (469) 800-5400

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1861789828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 W. UNIVERSITY DRIVE",
            "address_2": "STE 250",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75071",
            "telephone_number": "469-800-5400",
            "fax_number": "469-800-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 W. UNIVERSITY DRIVE",
            "address_2": "STE 250",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75071",
            "telephone_number": "469-800-5400",
            "fax_number": "469-800-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST.JOHN",
        "first_name": "JENNIFER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "5119",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "Q3810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstjohn225978@direct.sw.org",
            "affiliation": "N",
            "address_1": "5220 W. University Drive",
            "address_2": "Ste 250",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.