NPIMap

Individual provider Active NPI

Jacqueline Ehima, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1922518026
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135277 Issued in TX
Practice address
303 E Overton Rd Ste 104
Dallas, TX 75216-5946
Phone
(214) 266-4267
NPI assigned
Oct 3, 2017
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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 AP135277 TX Primary

Addresses

Primary practice location

303 E Overton Rd Ste 104
Dallas, TX 75216-5946

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other practice location 1

3413 N Belt Line Rd
Irving, TX 75062-7802
Phone (972) 252-9809

Other practice location 2

400 N Beach St Ste 104
Fort Worth, TX 76111-7070
Phone (817) 831-1750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191209002631 TX Practitioner - Nurse Practitioner 8325307069 Reassigns benefits to 6 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

Practice addresses (Care Compare)

400 N Beach St
Suite 104
Ft Worth, TX 76111-7070
Phone (817) 831-1750

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5622MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Nov 1, 2021 Accepting new patients
Citra Physician Services PLLC CurrentSince Jul 1, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 1, 2021 Accepting new patients
Citra Physician Services PLLC CurrentSince Jul 1, 2024 Accepting new patients
Medexpress Urgent Care Texas, P.a. Current Accepting new patients
Medexpress Urgent Care Texas, P.a. CurrentSince Sep 1, 2022 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Infinite Medical PC CurrentSince Nov 20, 2023 Accepting new patients
Health and Human Services Commission CurrentSince Mar 30, 2021 Accepting new patients
Medexpress Urgent Care Texas, P.a. CurrentSince Sep 1, 2022 Accepting new patients
Citra Physician Services PLLC Current Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Health and Human Services Commission CurrentSince Mar 30, 2021 Accepting new patients
AIDS Healthcare Foundation Texas Inc CurrentSince Jul 21, 2025 Accepting new patients
AIDS Healthcare Foundation Texas Inc PastSince Jul 21, 2025 Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

250 Skillman St
Ste 202
Brooklyn, NY 11205

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

2339 W Mockingbird Ln
Ste 100
Dallas, TX 75235
Phone (281) 771-1144

3414 Milton Ave
Dallas, TX 75205
Phone (214) 368-4822

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

7515 Greenville Ave
Ste 900
Dallas, TX 75231
Phone (214) 206-1447

7777 Forest Ln
Ste B122
Dallas, TX 75230
Phone (972) 383-1060

5001 S Hulen St
Fort Worth, TX 76132
Phone (817) 361-1928

400 N Beach St
Ste 104
Ft Worth, TX 76111
Phone (817) 831-1750

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

2021 N MacArthur Blvd
Ste 115
Irving, TX 75061
Phone (972) 253-4315

3413 N Belt Line Rd
Irving, TX 75062
Phone (972) 252-9809

22915 Morton Ranch Rd
Katy, TX 77449
Phone (281) 574-0124

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

805 N Dickinson Dr
Rusk, TX 75785
Phone (903) 683-7201

925 E Southlake Blvd
Ste 100
Southlake, TX 76092
Phone 2143582300 ext. 6225

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

1305 N Highway 77
Waxahachie, TX 75165
Phone (972) 937-1203

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

Interoperability endpoints

  • Direct secure messaging: jacqueline.ehima.1@26356.direct.athenahealth.com
  • Direct secure messaging: jehima883725@direct.sw.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1922518026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E OVERTON RD STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752165946",
            "telephone_number": "214-266-4267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3413 N Belt Line Rd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750627802",
            "country_code": "US",
            "telephone_number": "972-252-9809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Beach St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761117070",
            "country_code": "US",
            "telephone_number": "817-831-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EHIMA",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.