Jacquelyn Rapp

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

1044682 Issued in TX

Practice address

2850 TX-114
Trophy Club, TX 76262

Phone

(817) 837-4600

NPI assigned

Oct 8, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1518786326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 HOLLOW VALLEY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 TX-114",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "76262",
            "telephone_number": "817-837-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPP",
        "first_name": "JACQUELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "1044682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Perez, DPT
• Sydney Pettyjohn, RN, IBCLC
• Hong Hanh Tanis Phan
• Pro Physicians Clinic PA
• Randalls Food & Drugs LP (Tom Thumb Pharmacy #1789)
• Respiratory Sleep Solutions, Inc.
• Andrea Lynn Rice, M.S.
• Alexandra Richmond
• Kathryn Wright Rodgers, PHARM D.
• Jenna Romig

• Medical-Surgical Registered Nurse in Trophy Club, TX
• Providers in Trophy Club, TX by specialty
• Medical-Surgical Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.