Individual provider Active NPI

Abigail Brooks Callahan, AC-PNP

  • Pediatric Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1649655317
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1146506 Issued in TX
Practice address
9525 Greenville Ave
Dallas, TX 75243-4116
Phone
(281) 409-6011
NPI assigned
Jul 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95001371 CA
Pediatric Nurse Practitioner 363LP0200X 1146506 TX Primary

Addresses

Primary practice location

9525 Greenville Ave
Dallas, TX 75243-4116

Mailing address

110 N Clearwater Dr
Highland Village, TX 75077-6718
Phone (619) 723-3895

Other practice location 1

3030 Childrens Way
San Diego, CA 92123-4232
Phone (858) 966-8974

Other names 1

  • Abigail Christine Brooks Former name

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
I20250822001182 TX Practitioner - Nurse Practitioner 7214224278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Riverway
Suite 700
Houston, TX 77056-1952

PO Box
Suite 66
Houston, TX 77001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95001371CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Physicians Services PLLC CurrentSince Jul 28, 2025 Accepting new patients

Locations

9525 Greenville Ave
Dallas, TX 75243
Phone (214) 335-2600

227 Lewis St
San Antonio, TX 78212
Phone (210) 447-1700

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1649655317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N CLEARWATER DR",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750776718",
            "telephone_number": "619-723-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 GREENVILLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434116",
            "telephone_number": "281-409-6011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Childrens Way",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921234232",
            "country_code": "US",
            "telephone_number": "858-966-8974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "ABIGAIL",
        "middle_name": "BROOKS",
        "name_prefix": "Mrs.",
        "credential": "AC-PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95001371",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1146506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "BROOKS",
            "middle_name": "CHRISTINE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.