MS. SANDRA F. DEJESUS (NPI# 1265783179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265783179 |
| Entity Type | Individual |
| Full Name | MS. SANDRA F. DEJESUS |
| Credential | FNP |
| Practice Address |
7777 Forest Ln Ste C833 Dallas TX 75230-2591 |
| Mailing Address |
3209 Lochaven Dr Rowlett TX 75088-2923 |
| Practice Telephone | 9725664591 |
| Practice Fax Number | 9725666679 |
| Mailing Telephone | 2147932288 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2018-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
764715 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RN LICENSE | 764715 | 01 |
| TX | LICENSE | AP122354 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689166746 | Sandra Dejesus | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-06-05 |
| Street Address |
7777 FOREST LN STE C833 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326323353 | Jennifer Kent Autry | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2011-10-21 |
| 1376173559 | Shamika Ottley | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2020-01-16 |
| 1619512662 | Marlisha Lorraine Thomas | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2019-11-14 |
| 1376192138 | Allyson Leigh Feist | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2019-09-05 |
| 1134772585 | George Paul Flanagan Jr. | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2019-07-24 |
| 1235781915 | Akindele Keji Onadeko | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2019-07-12 |
| 1245718303 | Emily S Davis | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2018-08-01 |
| 1528568227 | Cherylonda Ramzy | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2018-02-19 |
| 1730694555 | Crystal J Dean | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2017-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1699376723 | David James Wainwright | Nurse Practitioner | 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 | 2020-11-04 |
| 1528668860 | Nicole Chadwick | Nurse Practitioner | 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 | 2020-10-27 |
| 1952901415 | Melissa Green | Nurse Practitioner | 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 | 2020-10-26 |
| 1194324640 | Busola Stella Amurawaiye | Nurse Practitioner | 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 | 2020-10-25 |
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1689288276 | Chinyere Ezeh | Nurse Practitioner | 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 | 2020-09-01 |
| 1992317341 | Modern Enhancement | Nurse Practitioner | 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 | 2020-08-18 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1528678083 | Esther Siriba | Nurse Practitioner | 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 | 2020-08-08 |
| Find all providers in DALLAS | ||||
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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.