My Care PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MY CARE PLLC

Practice address

1112 Main St
Garland, TX 75040-6131

Phone

(469) 573-9433

NPI assigned

Mar 15, 2015

Organization subpart

No

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

Authorized official

Name

Lizy Jimmy Johns, FNPNPI 1164787966

Title

Health Care Provider

Phone

(469) 573-9433

Specialties & licenses 1

Addresses

Other names 1

• My Care Family Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lizy Jimmy Johns, DNP, RN, FNP-BC

  • Family Nurse Practitioner
  • Garland, TX
  • NPI 1164787966
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1003209008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 MAIN ST",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750406131",
            "telephone_number": "469-573-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 MAIN ST",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750406131",
            "telephone_number": "469-573-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-15",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "LIZY",
        "authorized_official_middle_name": "JIMMY",
        "authorized_official_title_or_position": "HEALTH CARE PROVIDER",
        "authorized_official_telephone_number": "469-573-9433",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Care Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Garland, TX
• Providers in Garland, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.