Individual provider Active NPI

Jana Hardaway

  • Family Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1235743493
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141996 Issued in TX
Practice address
4100 State Highway 121
Carrollton, TX 75010-1118
Phone
(972) 939-7062
NPI assigned
Sep 4, 2020
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP141996 TX Primary

Addresses

Primary practice location

4100 State Highway 121
Carrollton, TX 75010-1118

Mailing address

4100 State Highway 121
Carrollton, TX 75010-1118
Phone (972) 939-7062

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
I20210217001428 TX Practitioner - Nurse Practitioner 1355756750 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP141996TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Sep 21, 2020 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Sep 21, 2020 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 11, 2024 Accepting new patients
Vohra Post Acute Care Physicians of Texas, PLLC CurrentSince Feb 10, 2025 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1201 Clarks Dr
Abilene, TX 79602
Phone (325) 670-9185

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

3830 Mustang Rd
Alvin, TX 77511
Phone (281) 585-8484

401 W Arbrook Blvd
Arlington, TX 76014
Phone (817) 466-3094

5526 S Congress Ave
Austin, TX 78745
Phone (512) 310-3190

5800 W Baker Rd
Baytown, TX 77520
Phone (281) 424-4541

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

4100 State Highway 121
Carrollton, TX 75010
Phone (972) 339-2417

17218 Preston Rd
Ste 2000
Dallas, TX 75252
Phone (469) 518-8472

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846

9522 Broadway St
Pearland, TX 77584
Phone 7134368151 ext. 8221

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1235743493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 STATE HIGHWAY 121",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101118",
            "telephone_number": "972-939-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 STATE HIGHWAY 121",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101118",
            "telephone_number": "972-939-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDAWAY",
        "first_name": "JANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.