Active NPI
Jitta Aleya Tharakan, FNP-C
- Family Nurse Practitioner
- Keller, TX
National Provider Identifier
1649149097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1216719
- Practice address
- 891 Keller Pkwy Ste 101
Keller, TX 76248-2486 - Phone
- (682) 593-4273
- NPI assigned
- Nov 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1216719 | TX | Primary |
Addresses
Primary practice location
891 Keller Pkwy Ste 101
Keller, TX 76248-2486
Mailing address
891 Keller Pkwy Ste 101
Keller, TX 76248-2486
Phone (214) 733-9481
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1216719 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1649149097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "891 KELLER PKWY STE 101",
"city": "KELLER",
"state": "TX",
"postal_code": "762482486",
"telephone_number": "214-733-9481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "891 KELLER PKWY STE 101",
"city": "KELLER",
"state": "TX",
"postal_code": "762482486",
"telephone_number": "682-593-4273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THARAKAN",
"first_name": "JITTA",
"middle_name": "ALEYA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-03",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1216719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.