Tyler Rehana Janjua, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1060091 Issued in TX

Practice address

1790 King Arthur Blvd Ste 120
Carrollton, TX 75010-2040

Phone

(972) 984-1050

Fax

(972) 984-1050

NPI assigned

Apr 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tyler R Shraim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Richard D Thrasher III MD PA

  • Otolaryngology Physician
  • McKinney, TX
  • NPI 1720273287
  NPD (past)

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1780325449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 W UNIVERSITY DR STE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717418",
            "telephone_number": "972-984-1050",
            "fax_number": "972-984-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 KING ARTHUR BLVD STE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750102040",
            "telephone_number": "972-984-1050",
            "fax_number": "972-984-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5220 W University Dr",
            "address_2": "Physicians Building 2 Ste 150",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "75071",
            "country_code": "US",
            "telephone_number": "972-984-1050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11700 Teel Pkwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750332064",
            "country_code": "US",
            "telephone_number": "214-620-8698",
            "fax_number": "972-984-1376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANJUA",
        "first_name": "TYLER",
        "middle_name": "REHANA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1060091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLER",
            "last_name": "SHRAIM",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter David Jaillet, DC
• James L Tritton DDS PC
• Jamie James, M.A., LPC
• Jamjen Enterprises Incorporated
• Tony Jang
• Janus RX LLC
• Alfred Jarrett, PHARMD
• Jason Marchetti MD PA
• Saima Javed, MD
• Hunter Chase Jaynes, MS

• Family Nurse Practitioner in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.