Anita Jacob Parayil, PNP, FNP, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP115881 Issued in TX

Practice address

2308 W Grauwyler Rd
Irving, TX 75061-4352

Phone

(972) 790-8300

Fax

(972) 790-8985

NPI assigned

Sep 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

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.

• Jacob Pediatrics PLLC

  • Family Nurse Practitioner
  • Irving, TX
  • NPI 1083059505
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1548577976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 W GRAUWYLER RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614352",
            "telephone_number": "972-790-8300",
            "fax_number": "972-790-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 W GRAUWYLER RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614352",
            "telephone_number": "972-790-8300",
            "fax_number": "972-790-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB PARAYIL",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "PNP, FNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP115881",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koesha Porche Jackson
• Marilyn Jackson
• Ratrice Jackson
• Tiara Jackson
• Trish Latonya Jackson, WHNP-BC
• Jacob Pediatrics PLLC
• Jais Mathew Jacob, MSN, RN, FNP-C
• Jeswin Chamathil Jacob
• Kusumam Jacob, RN
• Diana Lizbeht Jacobo, SLPA

• Family Nurse Practitioner in Irving, TX
• Providers in Irving, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.