Active NPI
Joab Odhiambo Acholla
- Acute Care Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP143153
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| DFW Critical Care LLC | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Dallas Pulmonary & Critical Care PA | Acute Care | Current | Accepting new patients |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | 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
- 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.
-
dba Exceed Medical P.A.
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1235402728
Acute Care
-
- Critical Care Medicine (Internal Medicine) Physician
- Fort Worth, TX
- NPI 1184071771
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- General Practice Physician
- Dallas, TX
- NPI 1750845863
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Colleyville, TX
- NPI 1235135906
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1356960132
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.