Active NPI
Rosemarie Catherine Jaekel, RN, MSN, CFNP
- Nurse Practitioner
- Mesquite, TX
National Provider Identifier
1093998858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 430233
- Practice address
- 3500 I-30
BLDG. B-130
Mesquite, TX 75150-2651 - Phone
- (972) 686-6400
- NPI assigned
- Dec 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 430233 | TX | Primary |
Addresses
Primary practice location
3500 I-30
BLDG. B-130
Mesquite, TX 75150-2651
Mailing address
3500 I-30
BLDG. B-130
Mesquite, TX 75150-2651
Phone (972) 686-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430233 | Other | TX | TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 430233 | TX | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197590400000",
"number": "1093998858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 I-30",
"address_2": "BLDG. B-130",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502651",
"telephone_number": "972-686-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 I-30",
"address_2": "BLDG. B-130",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502651",
"telephone_number": "972-686-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAEKEL",
"first_name": "ROSEMARIE",
"middle_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "RN, MSN, CFNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-14",
"last_updated": "2007-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "430233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS",
"identifier": "430233",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.