Family Nurse Practitioner Professionals

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137442 Issued in TX

Legal business name

FAMILY NURSE PRACTITIONER PROFESSIONALS

Practice address

9 Medical Pkwy Ste 308
Dallas, TX 75234-7855

Phone

(214) 440-6561

NPI assigned

May 16, 2018

Last updated

May 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lakeshia Ealy, FNP-C

Title

Nurse Practitioner

Phone

(214) 440-6561

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1821588708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 LAKE VISTA DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986401",
            "telephone_number": "214-440-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY STE 308",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347855",
            "telephone_number": "214-440-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY NURSE PRACTITIONER PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "EALY",
        "authorized_official_first_name": "LAKESHIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "214-440-6561",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anni Fan

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, 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 May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.