Individual provider Active NPI

Jamie Graham Parker

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1043795784
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138934 Issued in TX
Practice address
2624 Matlock Rd
Arlington, TX 76015-2525
Phone
(817) 275-8131
NPI assigned
Sep 28, 2018
Last updated
Sep 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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 AP138934 TX Primary

Addresses

Primary practice location

2624 Matlock Rd
Arlington, TX 76015-2525

Mailing address

8408 Wildrock CT
Arlington, TX 76001-2946
Phone (682) 219-9192

Other practice location 1

805 S Clay St
Ennis, TX 75119-5750
Phone (972) 875-8300

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
I20190104001741 TX Practitioner - Nurse Practitioner 0345586814 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Heart Care of Fort Worth, LLCGroup PAC ID 2860677341, 12 clinicians

Practice addresses (Care Compare)

2500 W Fwy
Suite 200
Fort Worth, TX 76102-5851
Phone (817) 753-8973

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heartcare of Dallas, LLC CurrentSince Feb 24, 2020 Accepting new patients
Legacy Heart Care of Grand Prairie, LLC CurrentSince Dec 10, 2022 Accepting new patients
Legacy Heart Care of North Dallas, LLC CurrentSince Jan 1, 2023 Accepting new patients
Legacy Heartcare of Dallas, LLC CurrentSince Feb 24, 2020 Accepting new patients
Legacy Heart Care of San Antonio CurrentSince Dec 1, 2021 Accepting new patients
Legacy Heart Care of San Antonio CurrentSince Dec 1, 2021 Accepting new patients
Legacy Heart Care of South Austin, LLC CurrentSince Dec 1, 2021 Accepting new patients
Legacy Heart Care of Midtown Austin, LLC CurrentSince Dec 1, 2021 Accepting new patients
Premier Cardiovascular Care of Dallas, PLLC CurrentSince Apr 1, 2024 Accepting new patients
Legacy Heart Care of Fort Worth, LLC CurrentSince Feb 24, 2020 Accepting new patients

Locations

1807 W Slaughter Ln
Ste 485
Austin, TX 78748
Phone (817) 423-4400

12230 Coit Rd
Ste 120
Dallas, TX 75251
Phone (972) 490-9500

7515 Greenville Ave
Ste 1010
Dallas, TX 75231
Phone (972) 838-7255

2500 West Fwy
Ste 200
Ft Worth, TX 76102
Phone (817) 423-4400

4927 Lake Ridge Pkwy
Ste 145
Grand Prairie, TX 75052
Phone (817) 423-4400

1180 Seton Pkwy
Ste 280
Kyle, TX 78640
Phone (817) 710-7644

12702 Toepperwein Rd
Ste 123
Live Oak, TX 78233
Phone (210) 934-4100

851 Highway 287 N
Mansfield, TX 76063
Phone (817) 277-3999

7300 Eldorado Pkwy
Ste 105
McKinney, TX 75070
Phone (945) 200-6880

4716 Dexter Dr
Ste 200
Plano, TX 75093
Phone (817) 502-7027

7200 Wyoming Springs Dr
Ste 300
Round Rock, TX 78681
Phone (512) 419-1100

3903 Wiseman Blvd
Ste 114
San Antonio, TX 78251
Phone (210) 256-9467

8401 Datapoint Dr
Ste 421
San Antonio, TX 78229
Phone (210) 558-1800

Organizations & group practices 10

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.

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": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1043795784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8408 WILDROCK CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760012946",
            "telephone_number": "682-219-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152525",
            "telephone_number": "817-275-8131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 S Clay St",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "TX",
            "postal_code": "751195750",
            "country_code": "US",
            "telephone_number": "972-875-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JAMIE",
        "middle_name": "GRAHAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.