Individual provider Active NPI

Elham Yousef Karajeh, APRN

  • Family Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1194205203
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138505 Issued in TX
Practice address
2904 Arenoso
Grand Prairie, TX 75054-0220
Phone
(682) 203-6770
NPI assigned
Aug 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X AP138505 TX
Family Nurse Practitioner 363LF0000X AP138505 TX Primary

Addresses

Primary practice location

2904 Arenoso
Grand Prairie, TX 75054-0220

Mailing address

2904 Arenoso
Grand Prairie, TX 75054-0220
Phone (682) 203-6770

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629001480 TX Practitioner - Nurse Practitioner 3072914902 Reassigns benefits to 1 organization
Practice locations: Grand Prairie, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karajeh Care PLLC Family CurrentSince Jun 30, 2023 Accepting new patients

Locations

2020 N Masters Dr
Ste 100
Dallas, TX 75217
Phone (972) 285-2600

Organizations & group practices 1

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": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1194205203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 ARENOSO",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540220",
            "telephone_number": "682-203-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 ARENOSO",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540220",
            "telephone_number": "682-203-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAJEH",
        "first_name": "ELHAM",
        "middle_name": "YOUSEF",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "AP138505",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.