JASON SIKES (NPI# 1578076972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578076972 |
| Entity Type | Individual |
| Full Name | JASON SIKES |
| Credential | APN, FNP-C |
| Practice Address |
3650 Laurel St Beaumont TX 77707-2216 |
| Practice Telephone | 4098380346 |
| Practice Fax Number | 4098393720 |
| Mailing Telephone | 4098380346 |
| Mailing Fax Number | 4098393720 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP135783 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BOARD OF NURSING | AP1357836 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5755 Lexington Cir, Lumberton, TX 776575977 | 4094543213 |
| Street Address |
3650 LAUREL ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346224359 | Sezefredo Paulo Depaiva | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2005-12-02 |
| 1316561715 | Brittany Paige Ellis | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2020-06-01 |
| 1952865552 | Katie C Holmes | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2019-01-28 |
| 1497239891 | Kristen Bradley | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2018-09-20 |
| 1619454220 | Traci Ann Rizk | Registered Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2018-07-26 |
| 1639431661 | Darryl Thomas Blalock | Orthopaedic Surgery | 3650 Laurel St, Beaumont, TX 77707-2216 | 2012-06-14 |
| 1447512843 | Jeffrey Craig Humphrey | Nurse Practitioner | 3650 Laurel St, Beaumont, TX 77707-2216 | 2012-06-12 |
| 1679880785 | Jessica Joanne Bobinger | Specialist/Technologist, Other | 3650 Laurel St, Beaumont, TX 77707-2216 | 2010-09-10 |
| 1972833085 | Audrey Helen Reyenga | Physician Assistant | 3650 Laurel St, Beaumont, TX 77707-2216 | 2010-01-12 |
| 1417286261 | Dee Ann Vines | Licensed Vocational Nurse | 3650 Laurel St, Beaumont, TX 77707-2216 | 2009-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| Find all providers in zip 77707 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725718 | Wendi Ellen Ames | Nurse Practitioner | 350 Pine St Ste 755, Beaumont, TX 77701-2437 | 2020-09-18 |
| 1093340697 | Amber Tenille Goldsmith | Nurse Practitioner | 4347 Phelan Blvd, Beaumont, TX 77707-2159 | 2020-03-04 |
| 1851925267 | Trey Perkins | Nurse Practitioner | 3650 N Major Dr Ste A, Beaumont, TX 77713-9573 | 2020-02-25 |
| 1972141158 | Lisa Marie Davila | Nurse Practitioner | 14870 Michelle Ln, Beaumont, TX 77713-2308 | 2019-12-18 |
| 1467095224 | Fines Pafira Pruett | Nurse Practitioner | 35232 Hogan Dr, Beaumont, CA 92223-7407 | 2019-10-24 |
| 1952944399 | Kevin Ray Jones | Nurse Practitioner | 6040 Carrie Ln, Beaumont, TX 77713-4192 | 2019-10-17 |
| 1447891320 | Summer Mcclain | Nurse Practitioner | 740 Hospital Dr Ste 250, Beaumont, TX 77701-4666 | 2019-10-02 |
| 1114579059 | Amy Rae Hederman | Nurse Practitioner | 3070 College St Ste 100b, Beaumont, TX 77701-4652 | 2019-07-11 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1548824253 | Lisa Marie Leger | Nurse Practitioner | 3129 College St Ste 200, Beaumont, TX 77701-4682 | 2019-04-29 |
| Find all providers in BEAUMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.