Jaceelli Healthcare

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

JACEELLI HEALTHCARE

Practice address

213 Timberline Dr
Midlothian, TX 76065-5611

Phone

(832) 215-0223

NPI assigned

Oct 3, 2019

Last updated

Oct 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jude N Abam, NPNPI 1699337881

Title

Owner / Practitioner

Phone

(832) 215-0223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jude Nji Abam

  • Family Nurse Practitioner
  • Arlington, TX
  • NPI 1699337881
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1649811316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 TIMBERLINE DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655611",
            "telephone_number": "832-215-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 TIMBERLINE DR",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760655611",
            "telephone_number": "832-215-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 N Cooper St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760115517",
            "country_code": "US",
            "telephone_number": "817-261-3121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACEELLI HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "ABAM",
        "authorized_official_first_name": "JUDE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER / PRACTITIONER",
        "authorized_official_telephone_number": "832-215-0223",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infinite Care Home Health, Inc.
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• Casey Marlene Ingram, OTR
• Innates Touch Chiropractic - Midlothian LLC
• Innovatech Medical Resources, LP (M.S.I. Medical Services International)
• Ana Louisa Jackson, D.C.
• Andrew Jackson III, DC
• Jennifer Ann Jackson, COTA
• Noe Luis Jaramillo, DDS
• Brittany Denae Jenkins

• Nurse Practitioner in Midlothian, TX
• Providers in Midlothian, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.