Individual provider Active NPI

Jamie Rebekah Pearson, B.S., M.S., C.N.I.M

  • Electroneurodiagnostic Specialist/Technologist
  • Richardson, TX
National Provider Identifier
1003200544
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
License
2502
Practice address
1819 Jay Ell Dr Ste 100
Richardson, TX 75081-2064
Phone
(888) 344-2947
Fax
(888) 694-2947
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Technician 2472E0500X 2502
Electroneurodiagnostic Specialist/Technologist 246ZE0600X 2502 Primary

Addresses

Primary practice location

1819 Jay Ell Dr Ste 100
Richardson, TX 75081-2064

Mailing address

4417 Socrates Street
North Las Vegas, NV 89031
Phone (702) 748-8807

Other identifiers 1

IdentifierTypeStateIssuer
2502OtherCNIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science, Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1003200544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 SOCRATES STREET",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "89031",
            "telephone_number": "702-748-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 JAY ELL DR STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812064",
            "telephone_number": "888-344-2947",
            "fax_number": "888-694-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JAMIE",
        "middle_name": "REBEKAH",
        "credential": "B.S., M.S., C.N.I.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": "2502",
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": "2502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNIM",
            "identifier": "2502",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.