Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELINE NGUYEN SHIMAMOTO MD
NPI 1326740523
Pediatrics in Bastrop, TX

Q: What is Jacqueline Shimamoto's NPI number?

The NPI number for Jacqueline Shimamoto is 1326740523. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Jacqueline Shimamoto's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since March 20, 2023

605 OLD AUSTIN HWY, BASTROP, TX 78602(877) 800-5722 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 2, 2026, Mar 27, 2023, Mar 21, 2023 (3 updates tracked since 2023).

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About Jacqueline Nguyen Shimamoto Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE NGUYEN SHIMAMOTO MD (NPI 1326740523) is an individual pediatrics provider in Bastrop, Texas, licensed in Texas (W8095) and active in the NPI registry since March 2023. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1326740523

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJACQUELINE NGUYEN SHIMAMOTOCredential: MD

Location Address605 OLD AUSTIN HWYBastrop, TX 78602-5034

Mailing Address2423 Williams Dr Ste 107Georgetown, TX 78628-3269 · (877) 800-5722

Phone(877) 800-5722

Sole ProprietorNo

Enumeration DateMarch 20, 2023

Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2026

✔ NPI 1326740523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · W8095

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

605 OLD AUSTIN HWY, Bastrop, TX 78602

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Secondary Practice Locations 3

Location 13950 N A W Grimes Blvd Ste N201Round Rock, TX 78665-3540 · Phone (877) 800-5722

Location 2757 Westwood Plaza Box 951752, 3108 RrumcLos Angeles, CA 90095-8358 · Phone (310) 267-9124

Location 32423 Williams Dr Ste 103Georgetown, TX 78628-3200 · Phone (877) 800-5722

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY PARNELL

Dental Hygienist