Jessica Elizabeth Daniels, PA-C

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

PA13973 Issued in TX

Practice address

6161 N State Hwy 161 #200
Irving, TX 75038-2220

Phone

(972) 258-7499

NPI assigned

Sep 18, 2020

Last updated

Oct 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Jessica Elizabeth Dominguez Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jessicadominguez@gfmc.allscriptsdirect.net

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.

• Medical Clinic of North Texas, PLLC

  dba USMD Physician Services

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1033167234

  Physician Assistant

  Medicare reassignment NPD
• Metroplex Care Group

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1043627870
  Medicare reassignment NPD
• Medical Clinic of North Texas PLLC

  • Radiation Oncology Clinic/Center
  • Arlington, TX
  • NPI 1184131625
  NPD
• Metroplex Care Group

  dba Griego Family Medical

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1558027839
  NPD
• Christine Holland MD PA

  • Family Medicine Physician
  • Decatur, TX
  • NPI 1962677740
  NPD (past)

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1649886292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SAGEWOOD DR APT 10103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761772287",
            "telephone_number": "817-937-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 N STATE HWY 161 #200",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382220",
            "telephone_number": "972-258-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "PA13973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DOMINGUEZ",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana Racinskas, LLC
• Taylor Dangerfield, RBT
• Danicare PLLC
• Daniel Suez, M.D., Allergy, Asthma and Immunology Clinic, P.a.
• Niccola Daniel, M.S. -CF
• John H Dansby III, LPC
• Darshna S. Chandrasekhara, MD, PA
• Kourosh Dashty, D.D.S.
• Dashwood Pharmacy
• Datahealth Medical Transport LLC

• General Practice Physician in Irving, TX
• Providers in Irving, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.