Jaclyn Michelle Pralat, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1002879 Issued in TX

Practice address

10325 Lake June Rd Ste 568
Dallas, TX 75217-5326

Phone

(972) 532-9967

Fax

(210) 314-5044

NPI assigned

Nov 3, 2011

Last updated

Apr 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jaclyn Ousnamer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nazim Merchant MD PA

  dba Merchant Pediatrics

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1679246276
  NPD (past)
• Nazim Merchant MD, PA

  dba Merchant Pediatrics

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1366406183
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1295011328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 SAN PEDRO AVE STE 412",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322009",
            "telephone_number": "210-281-8669",
            "fax_number": "210-314-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10325 LAKE JUNE RD STE 568",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752175326",
            "telephone_number": "972-532-9967",
            "fax_number": "210-314-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRALAT",
        "first_name": "JACLYN",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1002879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016270100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "OUSNAMER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Leigh Prahl, LCSW
• Praise Cathedral Ministries
• Malavika Prakasan, DO
• Sheena Gurwara Prakash, MD
• Vikyath Prakash, M.D.
• Aditya S Prasad
• Jyotsna S Prasad, MD
• Kavitha Prasad
• Keerthi D Prasad, M.D.
• Kiran Prasad, MD

• Pediatric Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.