Organization Active NPI

Neonatal Specialists, PC

  • Neonatal Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1972765634
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
544780 Issued in TX
Legal business name
NEONATAL SPECIALISTS, PC
Practice address
7 Medical Pkwy
Dallas, TX 75234-7829
Phone
(972) 888-7238
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Monica Aurora Cabra, NNP
Title
President
Phone
(972) 740-9972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LN0000X 544780 TX Primary

Addresses

Primary practice location

7 Medical Pkwy
Dallas, TX 75234-7829

Mailing address

6333 E Mockingbird LN
Suite 147-806
Dallas, TX 75214-2692
Phone (972) 740-9972

Other identifiers 1

IdentifierTypeStateIssuer
0292856MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1972765634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 E MOCKINGBIRD LN",
            "address_2": "SUITE 147-806",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142692",
            "telephone_number": "972-740-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MEDICAL PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347829",
            "telephone_number": "972-888-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEONATAL SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "CABRA",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "AURORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-740-9972",
        "authorized_official_credential": "NNP"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TX",
            "license": "544780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0292856",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.