Hanna Roshen Jacob

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP144021 Issued in TX

Practice address

3421 Spectrum Blvd
Richardson, TX 75082-9705

Phone

(972) 234-5698

NPI assigned

Nov 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rehabilitation & Physical Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Irving, TX
  • NPI 1437470358
  Medicare reassignment NPD
• Low-T Physicians Services PLLC

  • Urology Physician
  • Friendswood, TX
  • NPI 1477992717
  NPD (past)
• Physicians Wellness Associates PLLC

  • Family Medicine Physician
  • Southlake, TX
  • NPI 1225506223
  NPD (past)
• Southwest Texas Two Medical Group, PLLC

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1659950475
  NPD (past)

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1023774346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 PARKE HOLLOW DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750985064",
            "telephone_number": "956-358-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 SPECTRUM BLVD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750829705",
            "telephone_number": "972-234-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "HANNA",
        "middle_name": "ROSHEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Alane Jackson, EDUCATOR/ELS
• Leonard Jackson, COTA/L
• Madison Jackson
• Summer Jackson, COTA
• Tashawa Jackson
• Jessica Jacob, PHARMD
• Kathryn Leigh Jacob, M.S., CCC-SLP
• Tiffany Tresa Jacob, B.S., D.D.S
• Mark R Jaffe, MD
• J. Lee Jagers, PHD

• Family Nurse Practitioner in Richardson, TX
• Providers in Richardson, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.