Individual provider Active NPI

Jessica D Opoku

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1356737449
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127641 Issued in TX
Practice address
1212 Corporate Dr Ste 500
Irving, TX 75038-2506
Phone
(817) 510-5118
NPI assigned
Apr 15, 2015
Last updated
Apr 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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 AP127641 TX Primary

Addresses

Primary practice location

1212 Corporate Dr Ste 500
Irving, TX 75038-2506

Mailing address

1212 Corporate Dr Ste 500
Irving, TX 75038-2506
Phone (817) 510-5118

Other names 1

  • Jessica D Luo Other 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
I20150820012152 TX Practitioner - Nurse Practitioner 8628383585 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hephzibah Visiting CliniciansGroup PAC ID 1254688641, 11 clinicians

Practice addresses (Care Compare)

1534 N Hampton Rd
Suite 100
Desoto, TX 75115-2493
Phone (469) 941-4029

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hephzibah Visiting Clinicians Family CurrentSince Aug 7, 2019 Accepting new patients
Home Visiting Doctors Management LLC CurrentSince May 2, 2017 Accepting new patients
American Visiting Doctors LLC CurrentSince Apr 9, 2017 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Jan 1, 2020 Accepting new patients
Healthcare Liaison Services, LLC CurrentSince Feb 6, 2017 Accepting new patients

Locations

325 Central Expy S
Allen, TX 75013
Phone (214) 785-7246

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

5050 Quorum Dr
Ste 700
Dallas, TX 75254
Phone (214) 402-0101

111 Executive Way
Ste 102
Desoto, TX 75115
Phone (469) 585-8129

1534 N Hampton Rd
Ste 100
Desoto, TX 75115
Phone (469) 941-4029

5568 Weslayan St
Houston, TX 77005
Phone (713) 666-7050

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1356737449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 CORPORATE DR STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382506",
            "telephone_number": "817-510-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 CORPORATE DR STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382506",
            "telephone_number": "817-510-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPOKU",
        "first_name": "JESSICA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LUO",
            "middle_name": "D",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.