Individual provider Active NPI

Jessica Denney, PA-C

  • Medical Physician Assistant
  • Dallas, TX
National Provider Identifier
1073951927
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA07090 Issued in TX
Practice address
3710 Rawlins
Suite 1370
Dallas, TX 75219
Phone
(214) 520-7575
NPI assigned
Jun 12, 2013
Last updated
Jun 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA07090 TX Primary

Addresses

Primary practice location

3710 Rawlins
Suite 1370
Dallas, TX 75219

Mailing address

3710 Rawlins St
Suite 1370
Dallas, TX 75219-4217
Phone (214) 520-7575

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
I20240718005040 TX Practitioner - Physician Assistant 0648573147 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA07090TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Family Psychology Associates, PC Past Accepting new patients
Barry J Fenton M.D., P.a. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1073951927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 RAWLINS ST",
            "address_2": "SUITE 1370",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194217",
            "telephone_number": "214-520-7575",
            "fax_number": "214-520-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 RAWLINS",
            "address_2": "SUITE 1370",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219",
            "telephone_number": "214-520-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNEY",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.