Individual provider Active NPI

Joab Odhiambo Acholla

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1093336752
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP143153 Issued in TX
Practice address
221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
Phone
(214) 960-5681
NPI assigned
May 4, 2020
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP143153 TX Primary

Addresses

Primary practice location

221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312

Mailing address

2216 Elmwood Dr Apt 426
Arlington, TX 76010-8754
Phone (817) 946-4695

Other practice location 1

1400 8th Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jacholla660321@direct.sw.org

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
I20200626001957 TX Practitioner - Nurse Practitioner 9133541774 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DFW Critical Care LLCGroup PAC ID 7618261884, 10 clinicians
Dallas Pulmonary and Critical Care PAGroup PAC ID 2163679200, 186 clinicians
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544

221 W Colorado Blvd
Suite 525
Dallas, TX 75208-2312
Phone 214960568175

2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone (682) 341-5000

3600 Gaston Ave
Suite 960
Dallas, TX 75246-1909
Phone (469) 800-7686

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jun 1, 2020 Accepting new patients
DFW Critical Care LLC CurrentSince Mar 30, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 1, 2020 Accepting new patients
Dallas Pulmonary & Critical Care PA Acute Care CurrentSince Oct 11, 2022 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 2, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Sep 6, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 2, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 2, 2024 Accepting new patients
Healthtexas Provider Network Current Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525

3600 Gaston Ave
Ste 960
Dallas, TX 75246
Phone (214) 820-2346

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1001 College Ave
Ste A
Ft Worth, TX 76104
Phone (817) 336-1852

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75

2300 Lone Star Rd
Mansfield, TX 76063
Phone (682) 341-5000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: jacholla660321@direct.sw.org

Organizations & group practices 9

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 2

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": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1093336752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 ELMWOOD DR APT 426",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760108754",
            "telephone_number": "817-946-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W COLORADO BLVD STE 525",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082312",
            "telephone_number": "214-960-5681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044110",
            "country_code": "US",
            "telephone_number": "817-926-2544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHOLLA",
        "first_name": "JOAB",
        "middle_name": "ODHIAMBO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP143153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacholla660321@direct.sw.org",
            "affiliation": "N",
            "address_1": "3600 Gaston Ave Ste 960",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752461909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.