Rosemary Chacon, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1072808 Issued in TX

Practice address

2505 N Hwy 360 Ste 300
Grand Prairie, TX 75050-6494

Phone

(713) 258-9216

NPI assigned

Jul 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• MCH Professional Care

  • Multi-Specialty Clinic/Center
  • Odessa, TX
  • NPI 1649391269
  NPD (past)

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1659004562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 N HWY 360 STE 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750506494",
            "telephone_number": "713-258-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 N HWY 360 STE 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750506494",
            "telephone_number": "713-258-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON",
        "first_name": "ROSEMARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2026-08-30",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1072808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2505 N Hwy 360 Ste 300",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750506494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Central Texas Medical Services PLLC
• Centricare LLC
• Justin Chahine, D.D.S.
• Stanley Don Chambers, D.D.S.
• Cody Don Champagne, LMT
• Champions for Life Inc
• Breanna Chance, LMFT

• Nurse Practitioner in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; 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.