Active NPI
Anna Regina Jessup, RN, FNP-C
- Family Nurse Practitioner
- Round Rock, TX
National Provider Identifier
1760692370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 669251
- Practice address
- 2120 N Mays St
Suite 450
Round Rock, TX 78664-2192 - Phone
- (512) 828-4405
- Fax
- (512) 828-4412
- NPI assigned
- May 23, 2007
- Last updated
- Dec 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 669251 | TX | Primary |
Addresses
Primary practice location
2120 N Mays St
Suite 450
Round Rock, TX 78664-2192
Mailing address
2120 N Mays St
Suite 450
Round Rock, TX 78664-2192
Phone (512) 828-4405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021NP | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 669251 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapidcare Clinic PA | Past | Accepting new patients | |
| Rapid Care Clinic PA | Past | Accepting new patients | |
| Wellmed Medical Group, P.a. | Past | Accepting new patients | |
| Rapid Care Clinic PA | Past | Accepting new patients |
Interoperability endpoints
- anna.jessup.1@12600.direct.athenahealth.com
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.
-
- Clinic/Center
- Round Rock, TX
- NPI 1417130063
-
- Clinic/Center
- Austin, TX
- NPI 1801965652
-
- Clinic/Center
- Leander, TX
- NPI 1013094168
-
dba WellMed Doctor's Hospital Senior Clinic
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1740588243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1760692370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 N MAYS ST",
"address_2": "SUITE 450",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786642192",
"telephone_number": "512-828-4405",
"fax_number": "512-828-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 N MAYS ST",
"address_2": "SUITE 450",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786642192",
"telephone_number": "512-828-4405",
"fax_number": "512-828-4412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JESSUP",
"first_name": "ANNA",
"middle_name": "REGINA",
"name_prefix": "Mrs.",
"credential": "RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "669251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0021NP",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
- Aniela Therese Jenkins, MA, LPC
- Jennifer Lee Counseling PLLC
- Karen Tubbs Jennings, M.S., CCC-A
- Jessica Hooson, LCSW, P.L.L.C. (Huckleberry Social Work Services)
- Jessica Lynn Warren (Round Rock Counseling Services)
- Carson Jett, DDS
- JFRM LLC (Bluebonnet Diagnostic and 3D Imaging Center)
- Jheetey Dental PLLC
- Jing Jiang, M.D
- Josean Omar Jimenez Rodriguez, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.