Individual provider Active NPI

Blessy Kadavil John, FNP

  • Primary Care Nurse Practitioner
  • Allen, TX
National Provider Identifier
1659977890
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
33228 Issued in TX
Practice address
981 State Highway 121 Ste 1140
Allen, TX 75013-6148
Phone
(214) 517-3703
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 33228 TX Primary

Addresses

Primary practice location

981 State Highway 121 Ste 1140
Allen, TX 75013-6148

Mailing address

981 State Highway 121 Ste 1140
Allen, TX 75013-6148
Phone (214) 517-3703

Other practice location 1

3600 Communications Pkwy
Plano, TX 75093-8157
Phone (877) 557-5508

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
I20220616002060 TX Practitioner - Nurse Practitioner 7315326642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Jun 20, 2022 Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Jun 20, 2022 Accepting new patients

Locations

981 State Highway 121
Ste 1140
Allen, TX 75013
Phone (469) 697-5100

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

Organizations & group practices 3

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": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1659977890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 STATE HIGHWAY 121 STE 1140",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136148",
            "telephone_number": "214-517-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 STATE HIGHWAY 121 STE 1140",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136148",
            "telephone_number": "214-517-3703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Communications Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938157",
            "country_code": "US",
            "telephone_number": "877-557-5508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "BLESSY",
        "middle_name": "KADAVIL",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "33228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.