Active NPI
Jessica Lynne Childress, APRN, FNP
- Family Nurse Practitioner
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1110867
- Practice address
- 800 E Dawson St
Tyler, TX 75701-2036 - Phone
- (469) 358-9369
- Fax
- (888) 242-8720
- NPI assigned
- Feb 15, 2023
- Last updated
- Aug 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1110867 | TX | Primary |
Addresses
Primary practice location
800 E Dawson St
Tyler, TX 75701-2036
Mailing address
PO Box 163
Troup, TX 75789-0163
Phone (903) 330-1112
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1814 Roseland Blvd
Suite 100
Tyler, TX 75701-4262
Phone (214) 696-8033
306 E Main St
Total Point WH
Whitehouse, TX 75791-3519
Phone (903) 871-1317
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1110867 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Point - Desoto LLC | Family | Current | Accepting new patients |
| Inpatient Physician Associates PLLC | Current | Accepting new patients | |
| Ipa ER Group PLLC | Current | Accepting new patients | |
| Texas Spine and Joint Hospital, LLC | Current | Accepting new patients |
Locations
17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033
708 E Corsicana St
Athens, TX 75751
Phone (903) 476-0061
1601 Elm St
Ste 4210
Dallas, TX 75201
6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690
1111 N Interstate 35 E
Desoto, TX 75115
Phone (469) 530-9220
1517 E Rusk St
Jacksonville, TX 75766
Phone (903) 339-2370
3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000
2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600
1814 Roseland Blvd
Tyler, TX 75701
Phone (903) 525-3300
1814 Roseland Blvd
Ste 100
Tyler, TX 75701
Phone (214) 696-8033
306 E Main St
Whitehouse, TX 75791
Phone (430) 259-2051
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Trophy Club, TX
- NPI 1588488571
-
dba Total Point Primary & Family Care
- Family Medicine Physician
- Lindale, TX
- NPI 1104590330
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1285696898
-
dba Baylor Scott & White TX Spine & Joint Hos Imaging Ctr
- General Acute Care Hospital
- Tyler, TX
- NPI 1942292255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1891493250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 163",
"city": "TROUP",
"state": "TX",
"postal_code": "757890163",
"telephone_number": "903-330-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E DAWSON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757012036",
"telephone_number": "469-358-9369",
"fax_number": "888-242-8720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDRESS",
"first_name": "JESSICA",
"middle_name": "LYNNE",
"credential": "APRN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-15",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1110867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.