Individual provider Active NPI

Lijo Abraham, FNP

  • Family Nurse Practitioner
  • Farmers Branch, TX
National Provider Identifier
1982260808
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140384 Issued in TX
Practice address
8 Medical Pkwy Ste 103
Farmers Branch, TX 75234-7839
Phone
(972) 406-2896
NPI assigned
May 15, 2019
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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 AP140384 TX Primary

Addresses

Primary practice location

8 Medical Pkwy Ste 103
Farmers Branch, TX 75234-7839

Mailing address

8 Medical Pkwy Ste 103
Farmers Branch, TX 75234-7839
Phone (972) 406-2896

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address labraham1577604@Direct.TexasHealth.org Health Information Exchange (HIE)

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
I20210722000996 TX Practitioner - Nurse Practitioner 7517360985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians
UC Medical Group PLLCGroup PAC ID 8325551849, 4 clinicians

Practice addresses (Care Compare)

4135 Belt Line Rd
Suite 124
Addison, TX 75001-5879
Phone (469) 495-9126

9613 Coit Rd
Suite 104
Plano, TX 75024-7378
Phone (903) 225-9827

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140384TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care CurrentSince Dec 1, 2024 Accepting new patients
Texas Health Urgent Care Current Accepting new patients

Locations

4135 Belt Line Rd
Ste 124
Addison, TX 75001
Phone (469) 495-9126

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: labraham1577604@direct.texashealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1982260808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PKWY STE 103",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347839",
            "telephone_number": "972-406-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PKWY STE 103",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347839",
            "telephone_number": "972-406-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "LIJO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "labraham1577604@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange (HIE)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4135 Belt Line Rd Ste 124",
            "city": "Addison",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750015879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

Verify at the official NPI Registry.