Individual provider Active NPI

Jennifer Michelle Dinubila, ACNP

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1770813990
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP118560 Issued in TX
Practice address
1250 8TH Ave Ste 135
Fort Worth, TX 76104-4156
Phone
(214) 358-2300
Fax
(214) 579-6993
NPI assigned
Jan 11, 2010
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP118560 TX Primary

Addresses

Primary practice location

1250 8TH Ave Ste 135
Fort Worth, TX 76104-4156

Mailing address

1505 LBJ Fwy Ste 700
Dallas, TX 75234-6065
Phone (214) 358-2300

Other identifiers 1

IdentifierTypeStateIssuer
AP118560OtherTXLICENSE

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
I20100316000159 TX Practitioner - Nurse Practitioner 0941335004 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP118560TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Nephrology Associates CurrentSince Nov 22, 2016 Accepting new patients
Cait Care Providers PLLC CurrentSince Nov 1, 2025 Accepting new patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Sep 1, 2024 Accepting new patients
Dallas Nephrology Associates CurrentSince Nov 22, 2016 Accepting new patients
Guard Healthcare Systems LLC PastSince Nov 1, 2025 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

1150 N Bishop Ave
Ste 100
Dallas, TX 75208
Phone (214) 956-8200

1420 Viceroy Dr
Dallas, TX 75235

1505 Lyndon B Johnson Fwy
Ste 700
Dallas, TX 75234
Phone 21435823006012

940 York Dr
Desoto, TX 75115
Phone (972) 331-4554

1250 8th Ave
Ste 135
Fort Worth, TX 76104
Phone (817) 332-8848

600 E Rosedale St
Ste 125
Fort Worth, TX 76104
Phone (682) 207-3598

1250 8th Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 921-2153

4201 Stonegate Blvd
Ft Worth, TX 76109
Phone (817) 924-5440

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

4510 Medical Center Dr
Ste 305B
McKinney, TX 75069

Interoperability endpoints

  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mdinubila52277@direct.acumenmd.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1770813990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LBJ FWY STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346065",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE STE 135",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044156",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINUBILA",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP118560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP118560",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.