Individual provider Active NPI

Jacqueline Ann Rasooli, NP-C

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1649726191
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131582 Issued in TX
Practice address
5964 W Parker Rd Ste 100
Plano, TX 75093-7788
Phone
(469) 495-9122
NPI assigned
Aug 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131582 TX Primary

Addresses

Primary practice location

5964 W Parker Rd Ste 100
Plano, TX 75093-7788

Mailing address

5964 W Parker Rd Ste 100
Plano, TX 75093-7788
Phone (469) 495-9122

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrasooli2274028@direct.texashealth.org Health Information Exchange (HIE)

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
I20161220000318 TX Practitioner - Nurse Practitioner 9830470475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians

Practice addresses (Care Compare)

6225 N Josey LN
Suite 100
Lewisville, TX 75056-2482
Phone (469) 495-9128

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care Family Current Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Oct 22, 2016 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 22, 2016 Accepting new patients
Texas Health Urgent Care CurrentSince Dec 1, 2022 Accepting new patients
Texas Health Urgent Care CurrentSince Dec 1, 2022 Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

5964 W Parker Rd
Ste 100
Plano, TX 75093
Phone (469) 495-9122

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

6225 N Josey Ln
Ste 100
The Colony, TX 75056
Phone (469) 495-9128

Interoperability endpoints

  • Direct secure messaging: jrasooli257078@direct.sw.org

Organizations & group practices 7

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": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1649726191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5964 W PARKER RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937788",
            "telephone_number": "469-495-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5964 W PARKER RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937788",
            "telephone_number": "469-495-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASOOLI",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2023-09-04",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrasooli2274028@direct.texashealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5964 W Parker Rd Ste 100",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750937788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.