Individual provider Active NPI

Beena Abraham Josef

  • Acute Care Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1386365708
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1074005 Issued in TX
Practice address
13445 Four Willows Dr
Frisco, TX 75035-0047
Phone
(443) 783-8482
NPI assigned
Sep 5, 2022
Last updated
Sep 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1074005 TX Primary

Addresses

Primary practice location

13445 Four Willows Dr
Frisco, TX 75035-0047

Mailing address

13445 Four Willows Dr
Frisco, TX 75035-0047

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
I20221122003116 TX Practitioner - Nurse Practitioner 6204204274 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1074005TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Associates LLP CurrentSince Jun 13, 2023 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 6, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 6, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

5939 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 645-1919

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

102 Memorial Dr
#201
Denison, TX 75020
Phone (903) 463-5057

2741 FM 691
Denison, TX 75020
Phone (903) 893-7170

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1386365708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13445 FOUR WILLOWS DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13445 FOUR WILLOWS DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750350047",
            "telephone_number": "443-783-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEF",
        "first_name": "BEENA",
        "middle_name": "ABRAHAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1074005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.