Individual provider Active NPI

Irene Jideofor, FNP

  • Family Nurse Practitioner
  • Hurst, TX
National Provider Identifier
1700436292
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142350 Issued in TX
Practice address
1709 Precinct Line Rd
Hurst, TX 76054-3131
Phone
(817) 281-0402
Fax
(817) 281-6364
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 AP142350 TX Primary

Addresses

Primary practice location

1709 Precinct Line Rd
Hurst, TX 76054-3131

Mailing address

1709 Precinct Line Rd
Hurst, TX 76054-3131
Phone (817) 281-0402

Other practice location 1

5294 Belt Line Rd Ste 200
Dallas, TX 75254-7571
Phone (214) 785-2200

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
I20191220000439 TX Practitioner - Nurse Practitioner 9537593793 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142350TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catapult Health PA CurrentSince Dec 1, 2025 Accepting new patients
Catapult Health, LLC PastSince Dec 1, 2025 Accepting new patients

Locations

5294 Belt Line Rd
Ste 200
Dallas, TX 75254
Phone (214) 785-2200

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1700436292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 PRECINCT LINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543131",
            "telephone_number": "817-281-0402",
            "fax_number": "817-281-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 PRECINCT LINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543131",
            "telephone_number": "817-281-0402",
            "fax_number": "817-281-6364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5294 Belt Line Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752547571",
            "country_code": "US",
            "telephone_number": "214-785-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIDEOFOR",
        "first_name": "IRENE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.