Organization Active NPI

Jenprudent Healthcare LLC

  • Health Service Clinic/Center
  • Garland, TX
National Provider Identifier
1659830479
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
JENPRUDENT HEALTHCARE LLC
Doing business as
JenPrudent Healthcare LLC
Practice address
1913 Mesa CT
Garland, TX 75040-8289
Phone
(214) 448-6600
NPI assigned
Mar 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Modesta Onyia, APRN
Title
FNP
Phone
(214) 448-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1913 Mesa CT
Garland, TX 75040-8289

Mailing address

1913 Mesa CT
Garland, TX 75040-8289
Phone (214) 448-6600

Other names 1

  • JenPrudent Healthcare LLC Doing business as

National Provider Directory

National Provider Directory

Locations

122 N International Rd
Ste A
Garland, TX 75042
Phone (972) 487-9197

122 N International Rd
Garland, TX 75042

120 N International Rd
Ste A
Garland, TX 75042
Phone (972) 272-3328

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1659830479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 MESA CT",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750408289",
            "telephone_number": "214-448-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 MESA CT",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750408289",
            "telephone_number": "214-448-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENPRUDENT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "ONYIA",
        "authorized_official_first_name": "MODESTA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "214-448-6600",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JenPrudent Healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.