Clearview Primary Care PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

CLEARVIEW PRIMARY CARE PLLC

Practice address

2410 Luna Rd Ste 250
Carrollton, TX 75006-6575

Phone

(817) 300-5457

Fax

(469) 621-2209

NPI assigned

Mar 12, 2026

Organization subpart

No

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

Authorized official

Name

Nidish Jose, NPNPI 1104348903

Title

Ceo

Phone

(817) 300-5457

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Nidish Jose, AGNP-C

  • Adult Health Nurse Practitioner
  • Fort Worth, TX
  • NPI 1104348903
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1773273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1700733367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 LUNA RD STE 250",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066575",
            "telephone_number": "817-300-5457",
            "fax_number": "469-621-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 LUNA RD STE 250",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066575",
            "telephone_number": "817-300-5457",
            "fax_number": "469-621-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARVIEW PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-12",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "JOSE",
        "authorized_official_first_name": "NIDISH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-300-5457",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Andrea Cisneros
• City of Carrollton
• CKC Holdings LLC
• Daphne Clarke, RN
• Classic Clinical Laboratory LLC
• Ashley Elizabeth Cleary, DC
• Emma Clement
• Mary Haley Clement, MS SLP
• Audrey Michele Clerk, M.S.,OTRL
• Clinger Enterprises Inc

• Adult Health Nurse Practitioner in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.