Individual provider Active NPI

Rebecca Tess Birdsall

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1346750932
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP135364 Issued in TX
Practice address
17300 Dallas Pkwy Ste 1005
Dallas, TX 75248-1145
Phone
(817) 873-0595
Fax
(178) 873-0596
NPI assigned
Oct 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 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 AP135364 TX Primary

Addresses

Primary practice location

17300 Dallas Pkwy Ste 1005
Dallas, TX 75248-1145

Mailing address

17300 Dallas Pkwy Ste 1005
Dallas, TX 75248-1145
Phone (817) 873-0595

Other identifiers 2

IdentifierTypeStateIssuer
AP135364OtherTXAPRN LICENSE
776284OtherTXRN LICENSE

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
I20171120001619 TX Practitioner - Nurse Practitioner 6103183512 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP135364TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joel a. Holiner, MD PA Psychiatric/Mental Health CurrentSince Oct 23, 2017 Accepting new patients
Molina Psychiatric Associates PA PastSince Sep 1, 2020 Accepting new patients

Locations

7777 Forest Ln
Ste C833
Dallas, TX 75230
Phone (972) 566-4591

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": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1346750932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 DALLAS PKWY STE 1005",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481145",
            "telephone_number": "817-873-0595",
            "fax_number": "178-873-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 DALLAS PKWY STE 1005",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481145",
            "telephone_number": "817-873-0595",
            "fax_number": "178-873-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDSALL",
        "first_name": "REBECCA",
        "middle_name": "TESS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP135364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "AP135364",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "776284",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.