Individual provider Active NPI

Rachel Jaison

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1679059950
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136920 Issued in TX
Practice address
8210 Walnut Hill LN Ste 306
Dallas, TX 75231-4419
Phone
(469) 646-8880
Fax
(469) 646-8884
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136920 TX Primary

Addresses

Primary practice location

8210 Walnut Hill LN Ste 306
Dallas, TX 75231-4419

Mailing address

9900 N Central Expy Ste 225
Dallas, TX 75231-0918
Phone (469) 646-8880

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
I20180810000552 TX Practitioner - Nurse Practitioner 2668720434 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McKinney Internal Medicine, PLLC CurrentSince Aug 1, 2018 Accepting new patients
Dallas Medical, PLLC CurrentSince Aug 9, 2018 Accepting new patients

Locations

9900 N Central Expy
Ste 225
Dallas, TX 75231
Phone (214) 265-0420

8210 Walnut Hill Ln
Ste 306
Dallas, TX 75231
Phone (214) 306-4030

8951 Collin McKinney Pkwy
Ste 301
McKinney, TX 75070
Phone (214) 556-0847

Interoperability endpoints

  • Direct secure messaging: rachel.jaison@dsml.eclinicaldirectplus.com

Organizations & group practices 2

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1679059950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310918",
            "telephone_number": "469-646-8880",
            "fax_number": "469-646-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 306",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314419",
            "telephone_number": "469-646-8880",
            "fax_number": "469-646-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAISON",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.