Active NPI
Jamelia Eniece Abrams, DPM
- Foot & Ankle Surgery Podiatrist
- Grand Prairie, TX
National Provider Identifier
1447460910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1848
- Practice address
- 2776 Bay Shore LN
Grand Prairie, TX 75054-7255 - Phone
- (817) 539-0588
- NPI assigned
- May 23, 2007
- Last updated
- Mar 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901002169 | MI | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1848 | TX | Primary |
Addresses
Primary practice location
2776 Bay Shore LN
Grand Prairie, TX 75054-7255
Mailing address
2776 Bay Shore LN
Grand Prairie, TX 75054-7255
Phone (817) 539-0588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901002169 | MI | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Mental Health & Mental Retardation Center | Past | Accepting new patients | |
| Visiting Podiatry PLLC | Past | Accepting new patients | |
| Visiting Podiatry PLLC | Past | Accepting new patients |
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.
-
- Foot & Ankle Surgery Podiatrist
- Grand Prairie, TX
- NPI 1033367669
-
dba Metrocare Services
- Psychiatry Physician
- Dallas, TX
- NPI 1023239886
-
- Primary Podiatric Medicine Podiatrist
- Southfield, MI
- NPI 1295034593
-
- Primary Podiatric Medicine Podiatrist
- Williamsburg, VA
- NPI 1730507138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426464000000",
"number": "1447460910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2776 BAY SHORE LN",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750547255",
"telephone_number": "817-539-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2776 BAY SHORE LN",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750547255",
"telephone_number": "817-539-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMS",
"first_name": "JAMELIA",
"middle_name": "ENIECE",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2015-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901002169",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "1848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.