Active NPI
Jaeyoun Ha, APN
- Pediatric Nurse Practitioner
- Dallas, TX
National Provider Identifier
1649669318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP127088
- Practice address
- 3201 W Saner Ave
Dallas, TX 75233-1430 - Phone
- (214) 331-0567
- Fax
- (214) 337-7779
- NPI assigned
- Jan 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP127088 | TX | Primary |
Addresses
Primary practice location
3201 W Saner Ave
Dallas, TX 75233-1430
Mailing address
3201 W Saner Ave
Dallas, TX 75233-1430
Phone (214) 331-0567
Other practice location 1
10331 Longmont Dr
Houston, TX 77042-2068
Phone (713) 815-9578
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical PA | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1649669318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 W SANER AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752331430",
"telephone_number": "214-331-0567",
"fax_number": "214-337-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W SANER AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752331430",
"telephone_number": "214-331-0567",
"fax_number": "214-337-7779"
}
],
"practiceLocations": [
{
"address_1": "10331 Longmont Dr",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770422068",
"country_code": "US",
"telephone_number": "713-815-9578",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HA",
"first_name": "JAEYOUN",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP127088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.