Active NPI
Juliet I Wabara
- Psychiatric/Mental Health Nurse Practitioner
- McKinney, TX
National Provider Identifier
1215697115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP143506
- Practice address
- 9900 Moccasin Creek LN
McKinney, TX 75071-6525 - Phone
- (469) 230-0504
- NPI assigned
- Dec 20, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP143506 | TX | Primary |
Addresses
Primary practice location
9900 Moccasin Creek LN
McKinney, TX 75071-6525
Mailing address
9900 Moccasin Creek LN
McKinney, TX 75071-6525
Phone (469) 230-0504
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cji Health & Wellness PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Premier Independent Physicians Group, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- McKinney, TX
- NPI 1710768650
-
- Family Medicine Physician
- Denton, TX
- NPI 1437676640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1215697115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 MOCCASIN CREEK LN",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750716525",
"telephone_number": "469-230-0504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 MOCCASIN CREEK LN",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750716525",
"telephone_number": "469-230-0504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WABARA",
"first_name": "JULIET",
"middle_name": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-20",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP143506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.