Individual provider Active NPI

Jacinta Adaugo Unamba

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1710590658
Registry record updated Aug 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1002909 Issued in TX
Practice address
2217 Hollow Way
Garland, TX 75041-2189
Phone
(214) 457-5765
NPI assigned
Aug 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2020

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 1002909 TX Primary

Addresses

Primary practice location

2217 Hollow Way
Garland, TX 75041-2189

Mailing address

2217 Hollow Way
Garland, TX 75041-2189
Phone (214) 457-5765

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
I20251009004961 TX Practitioner - Nurse Practitioner 5395242747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2217 Hollow Way
Garland, TX 75041-2189

6875 Martin View St NE
Rockford, MI 49341-9446

PO Box
Belfast, ME 04915

PO Box
Cincinnati, OH 45263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1002909TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Sep 30, 2025 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Harmonycares Complete Health Services, PLLC CurrentSince Oct 5, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Sep 30, 2025 Accepting new patients

Locations

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598659200000",
    "number": "1710590658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 HOLLOW WAY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412189",
            "telephone_number": "214-457-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 HOLLOW WAY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412189",
            "telephone_number": "214-457-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNAMBA",
        "first_name": "JACINTA",
        "middle_name": "ADAUGO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-29",
        "last_updated": "2020-08-29",
        "certification_date": "2020-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1002909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.