Organization Active NPI

Prohealth House Calls Services Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1396074332
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
662521 Issued in TX
Legal business name
PROHEALTH HOUSE CALLS SERVICES INC.
Practice address
2300 Rockbrook Dr
Suite 222
Lewisville, TX 75067-8181
Phone
(469) 293-3676
Fax
(469) 293-3704
NPI assigned
Dec 22, 2009
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Rebecca Etta, ACNP-BCNPI 1952560054
Title
Chief Executive Officer/Owner
Phone
(972) 900-7222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 662521 TX Primary

Addresses

Primary practice location

2300 Rockbrook Dr
Suite 222
Lewisville, TX 75067-8181

Mailing address

2300 Rockbrook Dr
Suite 222
Lewisville, TX 75067-8181
Phone (469) 293-3676

Other identifiers 1

IdentifierTypeStateIssuer
211014001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100125000362 TX Part B Supplier - Clinic/Group Practice 6204978554 Receives reassigned benefits from 1 practitioner
Practice locations: Lewisville, TX

National Provider Directory

National Provider Directory

Locations

2300 Rockbrook Dr
Ste 100C
Lewisville, TX 75067
Phone (972) 459-6632

2300 Rockbrook Dr
Ste 222
Lewisville, TX 75067
Phone (469) 293-3676

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1396074332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ROCKBROOK DR",
            "address_2": "SUITE 222",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678181",
            "telephone_number": "469-293-3676",
            "fax_number": "469-293-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ROCKBROOK DR",
            "address_2": "SUITE 222",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678181",
            "telephone_number": "469-293-3676",
            "fax_number": "469-293-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH HOUSE CALLS SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "ETTA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/OWNER",
        "authorized_official_telephone_number": "972-900-7222",
        "authorized_official_credential": "ACNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "662521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211014001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.