Joab Odhiambo Acholla
Individual provider Active NPI Acute Care Nurse Practitioner · Dallas, TX
NPI 1093336752 · NPPES record last updated Aug 30, 2023
Key facts
- NPI
- 1093336752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- AP143153 (TX)
- Practice address
- 221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312 - Phone
- (214) 960-5681
- NPI assigned
- May 4, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DFW Critical Care LLC
Dallas Pulmonary and Critical Care PA
Hospitalist Medicine Physicians of Texas PLLC
Healthtexas Provider Network
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
- Baylor University Medical Center
- Texas Health Hospital Mansfield
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200626001957 | TX | Practitioner - Nurse Practitioner | 9133541774 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current |
Accepting new patients | |
| Dallas Pulmonary & Critical Care PA | Acute Care | Current |
Accepting new patients |
| Healthtexas Provider Network | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Current |
Accepting new patients | |
| Healthtexas Provider Network | Current |
Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| DFW Critical Care LLC | Current |
Accepting new patients | |
| Vpa of Texas PLLC | Current |
Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
3600 Gaston Ave
Ste 960
Dallas, TX 75246
Phone (214) 820-5630
221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
1001 College Ave
Ste A
Ft Worth, TX 76104
Phone (817) 336-1852
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP143153 | TX | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jacholla660321@direct.sw.org |
Other providers in Dallas, TX
- Maira Defranca Acheampong
- Achieve Home Health Care Services LLC
- Achieve Pediatric Therapy TX LLC
- Chiamaka F. Acho
- Onyebuchi Sonny Acho
- Maha Achour
- Jean Achterberg
- Carolyn Jean Acker
- Catherine Michelle Acker
- Kalyn Marie Acker
All providers in Dallas, TX · Acute Care Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.