Individual provider Active NPI

Paula Patricia Rosales, NP

  • Pediatric Nurse Practitioner
  • Plano, TX
National Provider Identifier
1881908556
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP143221 Issued in TX
Practice address
7609 Preston Rd Ste P2700
Plano, TX 75024-3415
Phone
(469) 303-9000
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 004406 CT
Pediatric Nurse Practitioner 363LP0200X 20674 CA
Pediatric Nurse Practitioner 363LP0200X AP143221 TX Primary

Addresses

Primary practice location

7609 Preston Rd Ste P2700
Plano, TX 75024-3415

Mailing address

7609 Preston Rd Ste P2700
Plano, TX 75024-3415
Phone (469) 303-9000

Other practice location 1

2350 N Stemmons Fwy # F2100
Dallas, TX 75207-2700
Phone (214) 867-6000

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
I20191127002026 TX Practitioner - Nurse Practitioner 8325226459 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4406CTMDProfessional Counselor
004406CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complex Care Medical Services Corporation CurrentSince Nov 1, 2019 Accepting new patients
Children'S Health System of Texas Current Accepting new patients
Dallas Physician Medical Services for Children Inc PastSince Nov 1, 2019 Accepting new patients
University of Texas Southwestern Medical Center at Dallas PastSince Oct 15, 2023 Accepting new patients

Locations

1935 Medical District Dr
#411
Dallas, TX 75235

2350 N Stemmons Fwy
Ste F2450
Dallas, TX 75207
Phone (469) 488-7229

2350 N Stemmons Fwy
#F2450
Dallas, TX 75207
Phone (469) 488-7200

2350 N Stemmons Fwy
#F2100
Dallas, TX 75207
Phone (214) 867-6000

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

7609 Preston Rd
Ste P2700
Plano, TX 75024
Phone (469) 303-9000

Organizations & group practices 4

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1881908556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7609 PRESTON RD STE P2700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243415",
            "telephone_number": "469-303-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7609 PRESTON RD STE P2700",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243415",
            "telephone_number": "469-303-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 N Stemmons Fwy # F2100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752072700",
            "country_code": "US",
            "telephone_number": "214-867-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "PAULA",
        "middle_name": "PATRICIA",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "004406",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "20674",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP143221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.