Individual provider Active NPI

Jessica Orman, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1336853977
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1102138 Issued in TX
Practice address
4252 Oak Lawn Ave
Dallas, TX 75219-2312
Phone
(214) 253-8690
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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 1102138 TX Primary

Addresses

Primary practice location

4252 Oak Lawn Ave
Dallas, TX 75219-2312

Mailing address

1715 Bennett Ave Apt 103
Dallas, TX 75206-7049
Phone (214) 577-9999

Other identifiers 2

IdentifierTypeStateIssuer
1102138OtherTXTEXAS BON
F11220176OtherTXAANP

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jessica@dallasskincentre.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1102138TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1336853977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 BENNETT AVE APT 103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067049",
            "telephone_number": "214-577-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 OAK LAWN AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192312",
            "telephone_number": "214-253-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORMAN",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1102138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BON",
            "identifier": "1102138",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F11220176",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jessica@dallasskincentre.com",
            "affiliation": "N",
            "endpointDescription": "jessica@dallasskincentre.com",
            "address_1": "4252 Oak Lawn Ave",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752192312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.