Individual provider Active NPI

Lindsey Iacofano

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1598516551
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18105 Issued in TX
Practice address
12228 N Central Expy Ste 410
Dallas, TX 75243-3797
Phone
(972) 566-5255
NPI assigned
Mar 28, 2024
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA18105 TX Primary

Addresses

Primary practice location

12228 N Central Expy Ste 410
Dallas, TX 75243-3797

Mailing address

6228 Jackie Ave
Woodland Hills, CA 91367-1422
Phone (818) 809-7855

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
I20240808001897 TX Practitioner - Physician Assistant 7618414517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Joint Institute, PLLCGroup PAC ID 8325206584, 40 clinicians

Practice addresses (Care Compare)

1125 Raintree Cir
Suite 201
Allen, TX 75013-5288
Phone (972) 566-5255

1130 Beachview St
Suite 100
Dallas, TX 75218-3702
Phone (972) 566-5255

12228 N Central Expy
Suite 410
Dallas, TX 75243-3797
Phone (972) 566-5255

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111

3901 W 15TH St
Medical City Plano
Plano, TX 75075-7738
Phone (972) 593-6800

4001 W 15TH St
Suite 180
Plano, TX 75093-5836
Phone (972) 566-5255

4500 Medical Ctr Dr
McKinney, TX 75069-1650
Phone (972) 547-8000

4510 Medical Ctr Dr
McKinney, TX 75069-1650
Phone (817) 233-1016

4750 President George Bush Tpke
Sachse, TX 75048-4283
Phone (945) 320-9000

5500 Frisco Square Blvd
Frisco, TX 75034-3305
Phone (214) 618-0500

7211 Preston Rd
Suite 2100
Plano, TX 75024-0258
Phone (469) 488-1000

8200 Walnut Hill LN
Texas Health Presbyterian Dallas Ho
Dallas, TX 75231-4402
Phone (214) 820-0111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1598516551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 JACKIE AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913671422",
            "telephone_number": "818-809-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12228 N CENTRAL EXPY STE 410",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433797",
            "telephone_number": "972-566-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOFANO",
        "first_name": "LINDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.