Individual provider Active NPI

Jacqueline Dorward

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1689877532
Registry record updated Jun 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1030056 Issued in TX
Practice address
8820 Fescue LN
Austin, TX 78738-4056
Phone
(917) 292-8083
NPI assigned
Jun 7, 2007
Last updated
Jun 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00133500 NJ
Family Nurse Practitioner 363LF0000X 1030056 TX Primary

Addresses

Primary practice location

8820 Fescue LN
Austin, TX 78738-4056

Mailing address

8820 Fescue LN
Austin, TX 78738-4056
Phone (917) 292-8083

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
I20251030005331 TX Practitioner - Nurse Practitioner 5294812343 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Internists of Texas LLCGroup PAC ID 6507133584, 46 clinicians
Healthdrive Medical Services of Texas LLCGroup PAC ID 2466899752, 40 clinicians

Practice addresses (Care Compare)

14058 Bee Cave Pkwy
BLDG B
Austin, TX 78738-7072
Phone (512) 263-2469

2413 E Loop 820
Fort Worth, TX 76118-6933
Phone (888) 964-6681

7000 N Mo Pac Expy
Suite 420
Austin, TX 78731-3055
Phone (512) 482-0045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1030056TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Medical Services Southeast LLC Family CurrentSince Feb 1, 2026 Accepting new patients
Healthdrive Medical Services of Texas LLC CurrentSince Jan 1, 2026 Accepting new patients
Hospital Internists of Texas, LLC CurrentSince Dec 1, 2025 Accepting new patients
Synergy Health Network PLLC CurrentSince Sep 21, 2025 Accepting new patients

Locations

2413 E Loop 820 N
Ft Worth, TX 76118
Phone (773) 426-9232

5980 Kyle Pkwy
Kyle, TX 78640
Phone (512) 262-0821

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751155200000",
    "number": "1689877532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 FESCUE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787384056",
            "telephone_number": "917-292-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 FESCUE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787384056",
            "telephone_number": "917-292-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORWARD",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00133500",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1030056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.