Individual provider Active NPI

Rainier De Joya, MSN, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1548980527
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1087052 Issued in TX
Practice address
2801 Live Oak St Apt 2304
Dallas, TX 75204-5718
Phone
(806) 789-1361
NPI assigned
Aug 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1087052 TX Primary

Addresses

Primary practice location

2801 Live Oak St Apt 2304
Dallas, TX 75204-5718

Mailing address

2801 Live Oak St Apt 2304
Dallas, TX 75204-5718
Phone (806) 789-1361

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
I20240515000205 TX Practitioner - Nurse Practitioner 3375984826 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthbridge Corporation CurrentSince Feb 5, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 31, 2025 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

2435 N Central Expy
Ste 805
Richardson, TX 75080
Phone (469) 453-1423

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1548980527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LIVE OAK ST APT 2304",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045718",
            "telephone_number": "806-789-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LIVE OAK ST APT 2304",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045718",
            "telephone_number": "806-789-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JOYA",
        "first_name": "RAINIER",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1087052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.