Individual provider Active NPI

Jennifer Rebecca Joseph, CRNA

  • Certified Registered Nurse Anesthetist
  • Carrollton, TX
National Provider Identifier
1215422712
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
117529 Issued in TX
Practice address
1446 E Trinity Mills Rd
Carrollton, TX 75006
Phone
(972) 810-0700
NPI assigned
Jun 27, 2018
Last updated
Jun 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 117529 TX Primary

Addresses

Primary practice location

1446 E Trinity Mills Rd
Carrollton, TX 75006

Mailing address

4413 Shady LN
Rowlett, TX 75089-3479
Phone (469) 955-9593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180801003256 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325396773 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endo Sedation LLCGroup PAC ID 4789845363, 289 clinicians
Eagle Anesthesia PLLCGroup PAC ID 5092083998, 11 clinicians

Practice addresses (Care Compare)

3500 Preston Rd
Suite 200
Plano, TX 75093-8644
Phone (972) 985-2300

811 S Central Expy
Suite 103
Richardson, TX 75080-7439
Phone (972) 636-5727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
117529TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 2, 2023 Accepting new patients
DFW Oba PLLC CurrentSince Oct 12, 2024 Accepting new patients
Edward T Shin MD PA CurrentSince Jan 1, 2020 Accepting new patients
Foremost Anesthesia CurrentSince Jan 1, 2020 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 2, 2023 Accepting new patients
Neend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Colorectal Associates of Texas PA Nurse Anesthetist, Certified Registered CurrentSince Jun 5, 2020 Accepting new patients
Mesquite Professional Anesthesia, PA CurrentSince May 15, 2021 Accepting new patients
Eagle Anesthesia PLLC CurrentSince Jun 29, 2023 Accepting new patients
Summit Sedation Specialists PLLC PastSince Jan 1, 2020 Accepting new patients
Trinity Pain Medicine Associates PA Past Accepting new patients
Adam Anesthesia PLLC Past Accepting new patients

Locations

17051 Dallas Pkwy
Ste 200
Addison, TX 75001
Phone (972) 248-0077

981 State Highway 121
Ste 2100
Allen, TX 75013
Phone (214) 383-8210

5757 Alpha Rd
Ste 110
Dallas, TX 75240
Phone (972) 502-9981

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

13080 Dallas Pkwy
Ste 310
Frisco, TX 75033
Phone (469) 269-1060

4401 Coit Rd
Ste 301
Frisco, TX 75035
Phone (972) 377-4216

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400

8000 Eldorado Pkwy
Bldg C
McKinney, TX 75070
Phone (469) 296-1049

8000 Eldorado Pkwy
Ste A
McKinney, TX 75070
Phone (469) 742-9950

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

3865 Childress Ave
Mesquite, TX 75150
Phone (972) 528-6090

8509 Mid Cities Blvd
Ste 200
North Richland Hills, TX 76182
Phone (469) 294-0083

1701 Ohio Dr
Plano, TX 75093
Phone (214) 291-3000

1705 Ohio Dr
Ste 100
Plano, TX 75093

3500 Preston Rd
Ste 200
Plano, TX 75093
Phone (972) 985-2300

5804 Communications Pkwy
Ste 100
Plano, TX 75093
Phone (972) 502-9981

811 S Central Expy
Ste 103
Richardson, TX 75080
Phone (972) 310-7121

990 S Sherman St
Richardson, TX 75081
Phone (972) 788-0350

2118 E State Highway 114
Southlake, TX 76092
Phone (817) 488-0410

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16703/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/20286/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1215422712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 SHADY LN",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750893479",
            "telephone_number": "469-955-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 E TRINITY MILLS RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75006",
            "telephone_number": "972-810-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "117529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.