Individual provider Active NPI

Jaslyn Blackwell, RN

  • Acute Care Nurse Practitioner
  • Plano, TX
National Provider Identifier
1538878475
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1032344 Issued in TX
Practice address
6124 W Parker Rd Ste 536
Plano, TX 75093-8137
Phone
(972) 378-9560
Fax
(844) 290-4363
NPI assigned
Nov 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1032344 TX
Gerontology Nurse Practitioner 363LG0600X 1032344 TX
Acute Care Nurse Practitioner 363LA2100X 1032344 TX Primary

Addresses

Primary practice location

6124 W Parker Rd Ste 536
Plano, TX 75093-8137

Mailing address

6124 W Parker Rd Ste 536
Plano, TX 75093-8137
Phone (972) 378-9560

Other names 1

  • Jaslyn Jackson Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241122003671 TX Practitioner - Nurse Practitioner 3678008976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartplace PLLCGroup PAC ID 2769386473, 90 clinicians

Practice addresses (Care Compare)

6124 W Parker Rd
Suite 536
Plano, TX 75093-8137
Phone (972) 378-9560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1032344TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Heartplace, PLLC CurrentSince Oct 2, 2024 Accepting new patients
Heartplace, PLLC CurrentSince Oct 2, 2024 Accepting new patients
Heartplace, PLLC Current Accepting new patients
Heartplace, PLLC Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003

16980 Dallas Pkwy
Ste 200
Dallas, TX 75248
Phone (214) 343-8565

13192 Dallas Pkwy
Ste 610B
Frisco, TX 75033
Phone (469) 213-5969

4708 Alliance Blvd
Ste 500
Plano, TX 75093
Phone (972) 941-3100

6124 W Parker Rd
Ste 536
Plano, TX 75093
Phone (972) 378-9560

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

3001 George Bush Hwy
Ste 175
Richardson, TX 75082
Phone (214) 231-9874

Interoperability endpoints

  • Direct secure messaging: jaslyn.blackwell.1@14273.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4
  • Direct secure messaging: jaslyn.blackwell@ushv.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1538878475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 536",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938137",
            "telephone_number": "972-378-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 536",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938137",
            "telephone_number": "972-378-9560",
            "fax_number": "844-290-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "JASLYN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1032344",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1032344",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1032344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASLYN",
            "last_name": "JACKSON",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.