Candice Jabur

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1141974 Issued in TX

Practice address

1400 N Coit Rd Ste 2302
McKinney, TX 75071-6663

Phone

(469) 290-3208

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: candice.jabur@417447558381572.direct.elationemr.com

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.

• Well Rooted Pediatrics, PLLC

  • Primary Care Clinic/Center
  • Frisco, TX
  • NPI 1063164002
  NPD (past)

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1750131785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 FREESIA DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750684603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N COIT RD STE 2302",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716663",
            "telephone_number": "469-290-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABUR",
        "first_name": "CANDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "840240",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1141974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenora Ivy, PHD
• Ivymed Behavioral Health PLLC
• Dan Iya, MD
• J&D Innovations Trust
• J&M King LLC
• Jack Jones Hearing Centers, Inc.
• Blair Jackman, LPC
• Corey Jackson
• Jaclyn Ann Jackson
• Jeffery Jackson, LPC

• Pediatric Nurse Practitioner in McKinney, TX
• Providers in McKinney, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.