Provider Demographics
NPI:1508652215
Name:BATTON, JAMIE M
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:M
Last Name:BATTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79901-3220
Mailing Address - Country:US
Mailing Address - Phone:334-594-0082
Mailing Address - Fax:
Practice Address - Street 1:201 E 9TH AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-3220
Practice Address - Country:US
Practice Address - Phone:334-594-0082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TB0200X, 374U00000X, 376J00000X, 376K00000X, 173F00000X
TX$$$$$$$$$00000111N00000X, 207N00000X
SD$$$$$$$$$00001223G0001X
SD$$$$$$$$$00000207RP1002X
TX$$$$$$$$$0000152WX0102X
SD$$$$$$$$$163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No207RP1002XAllopathic & Osteopathic PhysiciansInternal MedicinePhysician Nutrition Specialist
No152WX0102XEye and Vision Services ProvidersOptometristOccupational VisionGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's Aide