Individual provider Active NPI

Barbra Dale Jefferies, R.N.

  • Nurse Practitioner
  • Irving, TX
National Provider Identifier
1962431106
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
567942 Issued in TX
Practice address
6750 N Macarthur Blvd
Suite 304
Irving, TX 75039-2875
Phone
(972) 247-8757
Fax
(972) 401-9135
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 567942 TX Primary

Addresses

Primary practice location

6750 N Macarthur Blvd
Suite 304
Irving, TX 75039-2875

Mailing address

6750 N Macarthur Blvd
Suite 304
Irving, TX 75039-2875
Phone (972) 247-8757

Other identifiers 1

IdentifierTypeStateIssuer
500001401OtherTXRAILROAD MEDICARE

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)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1962431106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 N MACARTHUR BLVD",
            "address_2": "SUITE 304",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392875",
            "telephone_number": "972-247-8757",
            "fax_number": "972-401-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 N MACARTHUR BLVD",
            "address_2": "SUITE 304",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392875",
            "telephone_number": "972-247-8757",
            "fax_number": "972-401-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERIES",
        "first_name": "BARBRA",
        "middle_name": "DALE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "567942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500001401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.