Individual provider Active NPI

Jaeyoun Ha, APN

  • Pediatric Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1649669318
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP127088 Issued in TX
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Topcare Medical PA PastSince Apr 22, 2014 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.

Verify at the official NPI Registry.