Organization Active NPI

Prosper Womens Health PLLC

  • Obstetrics & Gynecology Physician
  • McKinney, TX
National Provider Identifier
1639900830
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PROSPER WOMENS HEALTH PLLC
Practice address
1400 N Coit Rd Ste 1504
McKinney, TX 75071-6660
Phone
(469) 215-1647
NPI assigned
Aug 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Dr. Jolaiya Y Faturoti, MDNPI 1588074611
Title
OBGYN/Ceo
Phone
(214) 517-3452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1400 N Coit Rd Ste 1504
McKinney, TX 75071-6660

Mailing address

2116 Austin LN
Prosper, TX 75078-1657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240924003981 TX Part B Supplier - Clinic/Group Practice 2264973759 Receives reassigned benefits from 1 practitioner
Practice locations: McKinney, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2332722Prosper Womens Health PLLC1400 N Coit Road Ste 1504, McKinney, TX 75071Certificate of waiverOct 22, 2027

National Provider Directory

National Provider Directory

Locations

1400 N Coit Rd
Ste 1504
McKinney, TX 75071
Phone (469) 215-1647

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1639900830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 AUSTIN LN",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N COIT RD STE 1504",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716660",
            "telephone_number": "469-215-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER WOMENS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "FATUROTI",
        "authorized_official_first_name": "JOLAIYA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OBGYN/CEO",
        "authorized_official_telephone_number": "214-517-3452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.