Active NPI
Jessica D Opoku
- Family Nurse Practitioner
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP127641
- Practice address
- 1212 Corporate Dr Ste 500
Irving, TX 75038-2506 - Phone
- (817) 510-5118
- NPI assigned
- Apr 15, 2015
- Last updated
- Apr 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hephzibah Visiting Clinicians | Family | Current | Accepting new patients |
| Home Visiting Doctors Management LLC | Current | Accepting new patients | |
| American Visiting Doctors LLC | Current | Accepting new patients | |
| Doctors Express of the Beaumont Area PA | Current | Accepting new patients | |
| Healthcare Liaison Services, LLC | Current | 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
- 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.
-
- Family Nurse Practitioner
- Desoto, TX
- NPI 1083101075
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1710268305
-
dba AFC Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1841525235
-
dba Doctors Home Visits
- General Practice Physician
- Dallas, TX
- NPI 1881943116
-
- General Practice Physician
- Dallas, TX
- NPI 1699076794
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tyler, TX
- NPI 1164488334
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
- Rasheedat Opawoye
- Open Arms Healthcare of Texas Inc. (Medico MD)
- Open Arms Healthcare of Texas Inc. (Medico MD)
- Open Arms Healthcare of Texas Inc. (Medico MD)
- Ophthalmology Consultants PA
- Linda L Oppel, OT
- Opticare Home Health Services Inc
- Optimal Therapeutic Services, PLLC
- Option Care Enterprises, Inc. (Option Care)
- Option Care Enterprises, Inc. (Option Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.