Individual provider Active NPI

Eduy J James, DNP,APRIN,FNP-BC

  • Family Nurse Practitioner
  • Cleburne, TX
National Provider Identifier
1043695984
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128467 Issued in TX
Practice address
128 S. Ridgeway Drive
Cleburne, TX 76033
Phone
(682) 597-6142
Fax
(817) 556-0856
NPI assigned
Jul 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128467 TX Primary

Addresses

Primary practice location

128 S. Ridgeway Drive
Cleburne, TX 76033

Mailing address

128 S. Ridgeway Drive
Cleburne, TX 76033
Phone (817) 774-2576

Other practice location 1

1900 E Henderson St
Cleburne, TX 76031-5214
Phone (682) 597-6142

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180529001350 TX Practitioner - Nurse Practitioner 3971868787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

128 S Ridgeway Dr
Cleburne, TX 76033-4612
Phone (817) 774-2576

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128467TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleburne Family Care, LLC CurrentSince Aug 29, 2019 Accepting new patients

Locations

825 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 551-1856

128 S Ridgeway Dr
Cleburne, TX 76033
Phone (682) 597-6142

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21580/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDABDD/Endpoint/BDABDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DDACDD/Endpoint/DDACDD

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1043695984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S. RIDGEWAY DRIVE",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "76033",
            "telephone_number": "817-774-2576",
            "fax_number": "817-556-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S. RIDGEWAY DRIVE",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "76033",
            "telephone_number": "682-597-6142",
            "fax_number": "817-556-0856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 E Henderson St",
            "address_purpose": "LOCATION",
            "city": "Cleburne",
            "state": "TX",
            "postal_code": "760315214",
            "country_code": "US",
            "telephone_number": "682-597-6142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "EDUY",
        "middle_name": "J",
        "credential": "DNP,APRIN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.