Casey Ellen Drake, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J9870 Issued in TX

Practice address

201 E Interstate 30 Ste 100
Rockwall, TX 75087-5402

Phone

(214) 912-1531

Fax

(469) 757-4890

NPI assigned

Mar 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pecan Tree Pediatrics, P.a.

  • Pediatrics Physician
  • Rockwall, TX
  • NPI 1073802724
  NPD Authorized official
• Drake Hospitalists, P.a.

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1831399617
  NPD (past) Authorized official
• Creighton University

  • Allergy & Immunology (Internal Medicine) Physician
  • Omaha, NE
  • NPI 1295777225
  NPD (past)
• Creighton University

  • Physical Therapist
  • Omaha, NE
  • NPI 1780172304
  NPD (past)

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1114986254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E INTERSTATE 30 STE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875402",
            "telephone_number": "214-912-1531",
            "fax_number": "214-520-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E INTERSTATE 30 STE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875402",
            "telephone_number": "214-912-1531",
            "fax_number": "469-757-4890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6301 Gaston Ave Ste 125P",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752146207",
            "country_code": "US",
            "telephone_number": "214-214-3100",
            "fax_number": "469-757-4890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "CASEY",
        "middle_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-18",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J9870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152476101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Carlos Reyes-Pescador
• Dr Vaccaro Counseling Group
• Dr. Michael Duchamp DO, PA
• Dr. Payne Chiropractic PLLC
• Calvin Eugene Drake Jr., LMT
• Heather Draughn, OTR
• Rachel Dube
• Michael David Duchamp, DO
• Richie Dudley, PARAMEDIC
• Duggan Digs Disability PLLC

• Pediatrics Physician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.