Janice F Rubbelke, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

656557 Issued in TX

Practice address

601 E Southlake Blvd
Suite 200
Southlake, TX 76092-6251

Phone

(817) 488-1956

Fax

(817) 488-8675

NPI assigned

Apr 29, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

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

• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)

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

{
    "created_epoch": "1146268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1043277221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 PRESTON RD",
            "address_2": "SUITE 2008",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935124",
            "telephone_number": "972-381-9300",
            "fax_number": "972-381-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SOUTHLAKE BLVD",
            "address_2": "SUITE 200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926251",
            "telephone_number": "817-488-1956",
            "fax_number": "817-488-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBBELKE",
        "first_name": "JANICE",
        "middle_name": "F",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-29",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "656557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165857703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165857702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rosso, OD
• David Rothbart, MD
• Rozanne Roux James, AUD
• Mathew Roy
• Royal Children's Home, Inc. (Saving Grace Youth & Family Services)
• Ernesto Ruiz-Huidobro, MD
• Margaret McDougal Runner, MD
• Rural Interventional Pain Providers PLLC
• Rodney Jay Russell, DC
• Charles Byrom Russey, MD

• Family Nurse Practitioner in Southlake, TX
• Providers in Southlake, 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 18, 2015; 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.