Individual provider Active NPI

April Antionette Jackson, APRN

  • Family Nurse Practitioner
  • Cedar Hill, TX
National Provider Identifier
1144519612
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1072252 Issued in TX
Practice address
716 N Highway 67 Ste 2
Cedar Hill, TX 75104-2117
Phone
(972) 291-9165
Fax
(469) 575-9975
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 160802 TN
Family Nurse Practitioner 363LF0000X 25541 TN
Family Nurse Practitioner 363LF0000X 1072252 TX Primary

Addresses

Primary practice location

716 N Highway 67 Ste 2
Cedar Hill, TX 75104-2117

Mailing address

716 N Highway 67 Ste 2
Cedar Hill, TX 75104-2117
Phone (972) 291-9165

Other names 1

  • April Antionette Taylor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220119002585 TN Practitioner - Nurse Practitioner 0749672988
I20231017000029 TX Practitioner - Nurse Practitioner 0749672988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Hill Pain and Rehab, PAGroup PAC ID 1052402989, 7 clinicians

Practice addresses (Care Compare)

716 N Hwy 67
Suite 2
Cedar Hill, TX 75104-2117
Phone (972) 291-9165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
160802TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Behavioral Health Care System CurrentSince Dec 10, 2021 Accepting new patients
Cedar Hill Pain & Rehab, PA CurrentSince Sep 5, 2023 Accepting new patients
Expressions Pain and Rehab, P.a. Past Accepting new patients

Locations

413 Spring St
Chattanooga, TN 37405
Phone (423) 756-2740

940 S Ocoee St
Cleveland, TN 37311
Phone (423) 479-5454

2700 Executive Park NW
Cleveland, TN 37312
Phone (423) 479-9581

1504 Williams Dr
Murfreesboro, TN 37129
Phone (615) 278-2241

716 N Highway 67
Ste 2
Cedar Hill, TX 75104
Phone (972) 291-9165

280 Regency Pkwy
Mansfield, TX 76063
Phone (817) 453-2744

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1144519612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 N HIGHWAY 67 STE 2",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042117",
            "telephone_number": "972-291-9165",
            "fax_number": "469-575-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N HIGHWAY 67 STE 2",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042117",
            "telephone_number": "972-291-9165",
            "fax_number": "469-575-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "APRIL",
        "middle_name": "ANTIONETTE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "160802",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25541",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1072252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "APRIL",
            "last_name": "TAYLOR",
            "middle_name": "ANTIONETTE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.