Individual provider Active NPI

Jemal Seid

  • Psychiatric/Mental Health Nurse Practitioner
  • Plano, TX
National Provider Identifier
1245181320
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1057769 Issued in TX
Practice address
5501 Independence Pkwy Ste 302
Plano, TX 75023-5470
Phone
(972) 596-4393
NPI assigned
Feb 5, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1057769 TX Primary

Addresses

Primary practice location

5501 Independence Pkwy Ste 302
Plano, TX 75023-5470

Mailing address

5501 Independence Pkwy Ste 302
Plano, TX 75023-5470

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
I20260324003768 TX Practitioner - Nurse Practitioner 8224512561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

304 Ambrose Dr
Murphy, TX 75094-4217

6913 Camp Bowie Blvd
Suite 171
Fort Worth, TX 76116-7163

7465 E Osborn Rd
Scottsdale, AZ 85251-6590

PO Box
Suite 250447
Plano, TX 75025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1057769TXMDPsychiatric/Mental Health Nurse Practitioner

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.

NPI Registry JSON

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1245181320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 INDEPENDENCE PKWY STE 302",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 INDEPENDENCE PKWY STE 302",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235470",
            "telephone_number": "972-596-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEID",
        "first_name": "JEMAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1057769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.