Medi-Direct Healthcare Solutions LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

715590 Issued in TX

Legal business name

MEDI-DIRECT HEALTHCARE SOLUTIONS LLC

Practice address

9540 Garland Rd
Ste. 381-422
Dallas, TX 75218-5004

Phone

(214) 277-2243

Fax

(214) 231-2926

NPI assigned

Nov 3, 2013

Organization subpart

No

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

Authorized official

Name

Mahalia Jackson Butler, NP

Title

Co-Ceo/Founder

Phone

(214) 277-2243

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1383436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1437588142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9540 GARLAND RD STE 381-422",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752185004",
            "telephone_number": "214-865-6389",
            "fax_number": "214-865-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9540 GARLAND RD",
            "address_2": "STE. 381-422",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752185004",
            "telephone_number": "214-277-2243",
            "fax_number": "214-231-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-DIRECT HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-03",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON BUTLER",
        "authorized_official_first_name": "MAHALIA",
        "authorized_official_title_or_position": "CO-CEO/FOUNDER",
        "authorized_official_telephone_number": "214-277-2243",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "715590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medhealth (Methodist Orthopedic Spine Surgery)
• Medhealth (Methodist Medical Group)
• Medhelp Health Management LLC
• Medi Stat RX LLC (Medi Stat RX)
• Medi Sure DME LLC
• Medi-Wheels Diagnostics, LLC
• Medi-Wheels, LLC
• Medica Premier Healthcare, PLLC
• Catherine Medica, MS, RD, LDN
• Medical Account Specialists Inc

• Adult Health Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.