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Nicole Jefferson

Physician β€’ Seguin, TX

Active NPI 1174023063 Individual Practitioner Female Practitioner
Practice location in NPPES

529 Grayson Ln
Seguin, TX 781553084

Call 2542894071 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

529 Grayson Ln

Seguin, TX 781553084

Telephone 2542894071
Fax 8304334219
Organization at the Same NPPES Address or Phone
New Journey Home & Health Care Services Llc Facility NPI 1326639931

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-08-13
Residential Treatment Facility, Physical Disabilities Primary Specialty

NUCC Taxonomy Code: 320700000X

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Assisted Living Facility - Assisted Living, Mental Illness

NUCC Taxonomy Code: 3104A0625X

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Custodial Care Facility - Adult Care Home

NUCC Taxonomy Code: 311ZA0620X

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Community Based Residential Treatment Facility, Mental Illness

NUCC Taxonomy Code: 320800000X

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Clinic/Center - Adult Day Care

NUCC Taxonomy Code: 261QA0600X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 13, 2023

Registered at 529 GRAYSON LN, SEGUIN, TX 781553084 (Tel: 2542894071)

πŸ“
Updated Business Mailing Address August 13, 2023

Registered at 529 GRAYSON LN, SEGUIN, TX 781553084 (Tel: 2542894071)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2023

Assisted Living Facility

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2020

Clinic/Center

βœ…
NPI Profile Active February 16, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 16, 2018

Registered at 311 SPRING DR, KYLE, TX 786405775 (Tel: 2542894071)

πŸ“
Business Mailing Address (Initial Record) February 16, 2018

Registered at 311 SPRING DR, KYLE, TX 786405775 (Tel: 2542894071)

πŸ‘€
Provider Name / Credentials (Initial Record) February 16, 2018

Recorded as NICOLE JEFFERSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2018

Assisted Living Facility

🟒
Initial NPI Registration & Enumeration February 16, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174023063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2018
Last Update: August 13, 2023
Sole Proprietor: Yes

Mailing Address

529 Grayson Ln

Seguin, TX 781553084

Phone: 2542894071

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.