Individual provider Active NPI

Joby T Thankappan, RN, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1902301435
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136333 Issued in TX
Practice address
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone
(214) 947-5000
Fax
(214) 947-5040
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136333 TX Primary

Addresses

Primary practice location

1441 N Beckley Ave
Dallas, TX 75203-1201

Mailing address

559 E Ovilla Rd
Red Oak, TX 75154-3505
Phone (855) 955-2256

Other practice location 1

559 E Ovilla Rd
Red Oak, TX 75154-3505
Phone (855) 955-2256

Other practice location 2

701 Secretary Dr
Arlington, TX 76015-1623
Phone (855) 955-2256

Other names 1

  • Mrs. Joby T Thankappan Other name

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
I20180827001366 TX Practitioner - Nurse Practitioner 6406105386 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryam Raza MD PAGroup PAC ID 5890862742, 8 clinicians

Practice addresses (Care Compare)

1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-5000

2214 Fallbrooke Dr
Grand Prairie, TX 75050-0102
Phone (214) 463-0698

Hospital & facility affiliations

  • Hope Land Home Health Care Inc Home health agency, Sunnyvale, TX, CCN 743129
  • Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136333TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryam Raza MD PA CurrentSince Aug 1, 2018 Accepting new patients
Homeheal PA Family CurrentSince Jul 2, 2020 Accepting new patients
Orthopedic Center of Arlington, PLLC PastSince Jul 2, 2020 Accepting new patients

Locations

701 Secretary Dr
Arlington, TX 76015
Phone (214) 286-6565

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

2727 Bolton Boone Dr
Ste 109
Desoto, TX 75115
Phone (855) 955-2256

4001 W 15th St
Ste 100
Plano, TX 75093
Phone (214) 473-7570

559 E Ovilla Rd
Red Oak, TX 75154
Phone (214) 286-6565

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1902301435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 E OVILLA RD",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751543505",
            "telephone_number": "855-955-2256",
            "fax_number": "817-533-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N BECKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-947-5000",
            "fax_number": "214-947-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "559 E Ovilla Rd",
            "address_purpose": "LOCATION",
            "city": "Red Oak",
            "state": "TX",
            "postal_code": "751543505",
            "country_code": "US",
            "telephone_number": "855-955-2256",
            "fax_number": "817-533-6015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Secretary Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760151623",
            "country_code": "US",
            "telephone_number": "855-955-2256",
            "fax_number": "817-533-6015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THANKAPPAN",
        "first_name": "JOBY",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOBY",
            "last_name": "THANKAPPAN",
            "middle_name": "T",
            "prefix": "MRS.",
            "credential": "JOBY THANKAPPAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.