Jennifer Race

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

775953 Issued in TX

Practice address

12222 N Central Expy Ste 340
Dallas, TX 75243-3755

Phone

(972) 972-4851

Fax

(971) 556-5202

NPI assigned

Nov 2, 2013

Last updated

Sep 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Practice roles

Locations

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.

• Konen & Associates, PA

  dba Unified Pain Management

  • Interventional Pain Medicine Physician
  • Dallas, TX
  • NPI 1508144999
  Medicare reassignment NPD
• Upm Anesthesia PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Dallas, TX
  • NPI 1578455192
  NPD

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1609205418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE STE 360",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY STE 340",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433755",
            "telephone_number": "972-972-4851",
            "fax_number": "971-556-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "775953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon R Raby, SPEECH PATHOLOGIST M
• John Anthony Racanelli, MD
• Mark A Raccasi, M.D.
• Elizabeth M Race, MD
• James E Race
• Jeri Rachal, APRN
• Rachel Home Health Services Inc.
• Mamatha Racheruvu, M.B.B.S.
• Mary Katherine Rachfal, MSN, RN, CPNP-AC
• Dana Adele Racinskas, NP

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, 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 Sep 30, 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.