Organization Active NPI

I535 Family Healthcare

  • Family Medicine Physician
  • Mansfield, TX
National Provider Identifier
1558138982
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
I535 FAMILY HEALTHCARE
Practice address
609 Strada Cir
Mansfield, TX 76063-6637
Phone
(951) 965-1490
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Jessica Jenkins, FNP-BC
Title
Owner
Phone
(951) 965-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

609 Strada Cir
Mansfield, TX 76063-6637

Mailing address

609 Strada Cir
Mansfield, TX 76063-6637
Phone (951) 965-1490

National Provider Directory

National Provider Directory

Locations

609 Strada Cir
Mansfield, TX 76063
Phone (951) 965-1490

609 Strada Cir
Ste 107
Mansfield, TX 76063
Phone (682) 232-7176

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1558138982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 STRADA CIR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636637",
            "telephone_number": "951-965-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 STRADA CIR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636637",
            "telephone_number": "951-965-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I535 FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-965-1490",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.