Jacqueline Abalos Balarbar, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F1012339 Issued in TX

Practice address

315 N Shiloh Rd Ste 102
Garland, TX 75042-5783

Phone

(972) 205-0440

Fax

(469) 458-9121

NPI assigned

Feb 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Jackie A Balarbar Other name

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jackiebalarbarfnp-c@rcfp-tx.direct.office.nextgen.com

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.

• RJB Clinica Familiar, PLLC

  • Family Medicine Physician
  • Garland, TX
  • NPI 1205384138
  Medicare reassignment Authorized official
• American Visiting Doctors LLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1710268305
  Medicare reassignment NPD
• Healthcare Liaison Services, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1881943116
  Medicare reassignment NPD
• Home Visiting Doctors Management LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1699076794
  Medicare reassignment NPD

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1639418239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N SHILOH RD STE 102",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425783",
            "telephone_number": "972-205-0440",
            "fax_number": "469-458-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N SHILOH RD STE 102",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425783",
            "telephone_number": "972-205-0440",
            "fax_number": "469-458-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALARBAR",
        "first_name": "JACQUELINE",
        "middle_name": "ABALOS",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "777072",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123129",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F1012339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F1012339",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "BALARBAR",
            "middle_name": "A",
            "credential": "NP, APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kandreika Bailey, LVN
• Taylor-Nicole Bailey, LCSW
• Sophie Marie Baillargeon, CCC MS SLP
• Josh Baird
• Richard Y. Baker, D.D.S.
• James Andrew Ball Jr., DDS
• Kylie Ball, LPC
• Susanah Ball, M.S. CCC-SLP
• Kathleen Lauren Ballard
• Gabriela Maria Banda Zapata, M.S., CF-SLP

• Family Nurse Practitioner in Garland, TX
• Providers in Garland, 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 Nov 17, 2022; 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.