Active NPI
Jill M Westkaemper, MD
- Adult Medicine Physician
- Irving, TX
National Provider Identifier
1578620308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- L9011
- Practice address
- 200 O Connor Ridge Blvd
Irving, TX 75038-6513 - Phone
- (972) 310-3916
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L9011 | TX | |
| Adult Medicine Physician | 207QA0505X | L9011 | TX | Primary |
Addresses
Primary practice location
200 O Connor Ridge Blvd
Irving, TX 75038-6513
Mailing address
7320 Trianon CT
Colleyville, TX 76034-7333
Phone (214) 883-7877
Other practice location 1
2222 Welborn St
#406
Dallas, TX 75219-3924
Phone (214) 559-8495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | none | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L9011 | TX | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658534400000",
"number": "1578620308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 TRIANON CT",
"city": "COLLEYVILLE",
"state": "TX",
"postal_code": "760347333",
"telephone_number": "214-883-7877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 O CONNOR RIDGE BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750386513",
"telephone_number": "972-310-3916"
}
],
"practiceLocations": [
{
"address_1": "2222 Welborn St",
"address_2": "#406",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752193924",
"country_code": "US",
"telephone_number": "214-559-8495",
"fax_number": "214-224-3803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WESTKAEMPER",
"first_name": "JILL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2022-07-23",
"certification_date": "2022-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L9011",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "L9011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "none",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "N/A",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "200 O Connor Ridge Blvd",
"city": "Irving",
"state": "TX",
"country_code": "US",
"postal_code": "750386513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.