Individual provider Active NPI

Jessica Wallace Drigalla, M.D.

  • Pediatrics Physician
  • Temple, TX
National Provider Identifier
1770641706
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M4043 Issued in TX
Practice address
2401 S. 31St Street
Temple, TX 76508
Phone
(254) 724-4363
Fax
(254) 724-1938
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M4043 TX Primary

Addresses

Primary practice location

2401 S. 31St Street
Temple, TX 76508

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 248-8800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdrigalla11338@direct.sw.org Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000488 TX Practitioner - Pediatric Medicine 2264534205 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M4043TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Pediatrics CurrentSince Dec 11, 2006 Accepting new patients
Scott & White Clinic Pediatrics CurrentSince Dec 11, 2006 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

1009 Arbor Park Dr
Belton, TX 76513
Phone (254) 831-2100

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: jdrigalla11338@direct.sw.org

Organizations & group practices 3

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1770641706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-248-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S. 31ST STREET",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76508",
            "telephone_number": "254-724-4363",
            "fax_number": "254-724-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIGALLA",
        "first_name": "JESSICA",
        "middle_name": "WALLACE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M4043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdrigalla11338@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 S. 31ST STREET",
            "city": "TEMPLE",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.