Individual provider Active NPI

Lady Janice Custodio Duterte

  • Administrator Registered Nurse
  • Frisco, TX
National Provider Identifier
1932078391
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
783146 Issued in TX
Practice address
12777 Spring Hill Dr
Frisco, TX 75035-1644
Phone
(917) 655-3784
Fax
(972) 472-8881
NPI assigned
Nov 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 783146 TX
Wound Care Registered Nurse 163WW0000X 783146 TX
Home Health Registered Nurse 163WH0200X 783146 TX
Nutrition Support Registered Nurse 163WN1003X 783146 TX
Infusion Therapy Registered Nurse 163WI0500X 783146 TX
Administrator Registered Nurse 163WA2000X 783146 TX Primary
Continuing Education/Staff Development Registered Nurse 163WC1600X 783146 TX
Case Management Registered Nurse 163WC0400X 783146 TX

Addresses

Primary practice location

12777 Spring Hill Dr
Frisco, TX 75035-1644

Mailing address

12777 Spring Hill Dr
Frisco, TX 75035-1644
Phone (917) 655-3784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
783146TXMDInfusion Therapy Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carekal Health LLC CurrentSince Nov 9, 2025 Accepting new patients
Carekal on Call Ok LLC Current Accepting new patients

Organizations & group practices 2

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": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1932078391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12777 SPRING HILL DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750351644",
            "telephone_number": "917-655-3784",
            "fax_number": "972-472-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12777 SPRING HILL DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750351644",
            "telephone_number": "917-655-3784",
            "fax_number": "972-472-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTERTE",
        "first_name": "LADY JANICE",
        "middle_name": "CUSTODIO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-04",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TX",
            "license": "783146",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "TX",
            "license": "783146",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "783146",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "TX",
            "license": "783146",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "TX",
            "license": "783146",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "783146",
            "primary": true
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "TX",
            "license": "783146",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TX",
            "license": "783146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.