Individual provider Active NPI

Babita John, APRN, AGNP-C

  • Adult Health Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1902492945
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1014351 Issued in TX
Practice address
9300 John Hickman Pkwy Ste 704
Frisco, TX 75035-5920
Phone
(214) 436-4949
Fax
(214) 436-5792
NPI assigned
Dec 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1014351 TX
Primary Care Nurse Practitioner 363LP2300X 1014351 TX
Adult Health Nurse Practitioner 363LA2200X 1014351 TX Primary

Addresses

Primary practice location

9300 John Hickman Pkwy Ste 704
Frisco, TX 75035-5920

Mailing address

9300 John Hickman Pkwy Ste 704
Frisco, TX 75035-5920
Phone (214) 436-5792

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
I20210407001839 TX Practitioner - Nurse Practitioner 4082021118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Medical Associates PLLCGroup PAC ID 2466613146, 3 clinicians

Practice addresses (Care Compare)

9300 John Hickman Pkwy
Suite 704
Frisco, TX 75035-5920
Phone (214) 436-4949

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1014351TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical Associates PLLC CurrentSince Apr 12, 2021 Accepting new patients

Locations

9300 John Hickman Pkwy
Ste 704
Frisco, TX 75035
Phone (214) 436-4949

Organizations & group practices 1

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1902492945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 JOHN HICKMAN PKWY STE 704",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355920",
            "telephone_number": "214-436-5792",
            "fax_number": "214-436-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 JOHN HICKMAN PKWY STE 704",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355920",
            "telephone_number": "214-436-4949",
            "fax_number": "214-436-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "BABITA",
        "name_prefix": "Ms.",
        "credential": "APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1014351",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1014351",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1014351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.