Individual provider Active NPI

Jessica Agnes Ramsey Robbins, MD

  • Pediatrics Physician
  • Grand Prairie, TX
National Provider Identifier
1801018379
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N3262 Issued in TX
Practice address
2100 N Hwy 360 Ste 1904
Grand Prairie, TX 75050-1040
Phone
(469) 460-7090
Fax
(469) 460-7091
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X N3262 TX
Pediatrics Physician 208000000X 6579 KS
Pediatrics Physician 208000000X N3262 TX Primary

Addresses

Primary practice location

2100 N Hwy 360 Ste 1904
Grand Prairie, TX 75050-1040

Mailing address

2100 N Hwy 360 Ste 1904
Grand Prairie, TX 75050-1040
Phone (469) 460-7090

Other practice location 1

2025 Fort Worth Hwy Ste 100
Weatherford, TX 76086-4777
Phone (817) 609-4750

Other identifiers 2

IdentifierTypeStateIssuer
206341401MedicaidTX
1801018379OtherTXBCBS OF TX

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
I20090903000670 TX Practitioner - Pediatric Medicine 7719032341 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6579KSMDPediatrics Physician
N3262TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group CurrentSince Aug 1, 2009 Accepting new patients
TX Otp, LLC CurrentSince Mar 22, 2022 Accepting new patients
Timberland Medical Group CurrentSince Aug 1, 2009 Accepting new patients

Locations

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

2100 N Highway
Ste 1904
Grand Prairie, TX 75050
Phone (469) 460-7090

2025 Fort Worth Hwy
Ste 100
Weatherford, TX 76086
Phone (817) 594-6232

5700 E Interstate 20 Service Rd S
Ste 200
Willow Park, TX 76008
Phone (817) 489-7337

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1801018379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N HWY 360 STE 1904",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501040",
            "telephone_number": "469-460-7090",
            "fax_number": "469-460-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N HWY 360 STE 1904",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750501040",
            "telephone_number": "469-460-7090",
            "fax_number": "469-460-7091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 Fort Worth Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760864777",
            "country_code": "US",
            "telephone_number": "817-609-4750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMSEY ROBBINS",
        "first_name": "JESSICA",
        "middle_name": "AGNES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "TX",
            "license": "N3262",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "6579",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N3262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206341401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "1801018379",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.