Individual provider Active NPI

Liji Jobin, N.P.

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1316291214
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP122403 Issued in TX
Practice address
12950 Dallas Pkwy Ste 100
Frisco, TX 75033-4235
Phone
(972) 377-8695
NPI assigned
Oct 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 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 AP122403 TX Primary

Addresses

Primary practice location

12950 Dallas Pkwy Ste 100
Frisco, TX 75033-4235

Mailing address

12950 Dallas Pkwy Ste 100
Frisco, TX 75033-4235
Phone (972) 377-8695

Other names 1

  • Lijimol C. Jacob Former name

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
I20130325000113 TX Practitioner - Nurse Practitioner 4385889237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

12950 Dallas Pkwy
Suite 100
Frisco, TX 75033-4235
Phone (972) 377-8695

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Dec 10, 2018 Accepting new patients
Texas Health Physicians Group CurrentSince Dec 10, 2018 Accepting new patients
Texas Health Physicians Group Past Accepting new patients
Vickery Health Center Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

5858 Main St
Ste 130
Frisco, TX 75033
Phone (214) 387-4073

12950 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (972) 377-8695

Interoperability endpoints

  • Direct secure messaging: ljobin1386539@direct.texashealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1316291214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12950 DALLAS PKWY STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334235",
            "telephone_number": "972-377-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 DALLAS PKWY STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334235",
            "telephone_number": "972-377-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBIN",
        "first_name": "LIJI",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP122403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIJIMOL",
            "last_name": "JACOB",
            "middle_name": "C.",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.