Active NPI
Jilly John
- Family Nurse Practitioner
- Irving, TX
National Provider Identifier
1003435843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP145105
- Practice address
- 6363 N State Highway 161 Ste 100
Irving, TX 75038-2239 - Phone
- (469) 200-3272
- NPI assigned
- Apr 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP145105 | TX | Primary |
Addresses
Primary practice location
6363 N State Highway 161 Ste 100
Irving, TX 75038-2239
Mailing address
3524 Texas Star Dr
Euless, TX 76040-1106
Phone (682) 301-2737
Other practice location 1
4055 Valley View Ln Ste 400
Dallas, TX 75244-5071
Phone (214) 518-5272
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)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- jjohn@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1003435843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3524 TEXAS STAR DR",
"city": "EULESS",
"state": "TX",
"postal_code": "760401106",
"telephone_number": "682-301-2737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 N STATE HIGHWAY 161 STE 100",
"city": "IRVING",
"state": "TX",
"postal_code": "750382239",
"telephone_number": "469-200-3272"
}
],
"practiceLocations": [
{
"address_1": "4055 Valley View Ln Ste 400",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752445071",
"country_code": "US",
"telephone_number": "214-518-5272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHN",
"first_name": "JILLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-12",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP145105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.