Organization Active NPI

J&D Innovations Trust

  • Psychiatric/Mental Health Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1073379582
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
J&D INNOVATIONS TRUST
Practice address
5900 S Lake Forest Dr Ste 300
McKinney, TX 75070-2238
Phone
(469) 307-2531
NPI assigned
Feb 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Domikah Olateru-Olagbegi, NP
Title
Ceo
Phone
(469) 307-2531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5900 S Lake Forest Dr Ste 300
McKinney, TX 75070-2238

Mailing address

550 N Central Expy Unit 118
McKinney, TX 75070-0007
Phone (469) 307-2531

Other names 1

  • Healthy Regards Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

550 N Central Expy
Unit 118
McKinney, TX 75070

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1073379582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N CENTRAL EXPY UNIT 118",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750700007",
            "telephone_number": "469-307-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 S LAKE FOREST DR STE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750702238",
            "telephone_number": "469-307-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&D INNOVATIONS TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "OLATERU-OLAGBEGI",
        "authorized_official_first_name": "DOMIKAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-307-2531",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Regards Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.