Jaina Abraham

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

732929 Issued in TX

Practice address

2727 Bolton Boone Dr Ste 109
Desoto, TX 75115-2019

Phone

(972) 283-2370

NPI assigned

Jan 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mahesh Kottapalli, M.D., P.a.

  • Infectious Disease Physician
  • Desoto, TX
  • NPI 1093020620

  TX

  Medicare reassignment NPD
• Mahesh Kottapalli, M.D., P.a.

  • Infectious Disease Physician
  • Waxahachie, TX
  • NPI 1801101118
  NPD

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1508288184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE DR STE 109",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 BOLTON BOONE DR STE 109",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152019",
            "telephone_number": "972-283-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "JAINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "732929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abba Group Healthcare
• Shehetaj G Abdurrahim, MD
• Ability First Care, LLC
• Above Cloud 9 Counseling & Consulting, PLLC
• Above&Beyond Healthcare Service, Inc.
• Lakia Abron
• Hanin Abuafeefeh
• Accuhealth, Inc.
• Accuspine LLC
• Lakezia Ann Achila, CEO

• Acute Care Nurse Practitioner in Desoto, TX
• Providers in Desoto, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.