JACOB PEDIATRICS PLLC (NPI# 1083059505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083059505 |
| Entity Type | Organization |
| Organization Name | JACOB PEDIATRICS PLLC |
| Practice Address |
1735 N Story Rd Suite 154 Irving TX 75061-1916 |
| Mailing Address |
5166 Highland Hills Dr Frisco TX 75034-2963 |
| Practice Telephone | 9728098880 |
| Mailing Telephone | 9728098722 |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-19 |
| Authorized Official Name | DR. ANITA JACOB-PARAYIL (PRESIDENT) |
| Authorized Official Telephone | 9728098880 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
685930 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1735 N STORY RD SUITE 154 |
| City | IRVING |
| State | TX |
| Zip Code | 75061-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925192 | Health Texas Provider Network | Durable Medical Equipment & Medical Supplies | 2021 N Macarthur Blvd Ste 300, Irving, TX 75061 | 2018-06-14 |
| 1356864722 | Candace Leann Mullens | Physician Assistant | 2005 West Park Dr., Ste. 100, Irving, TX 75061 | 2017-07-18 |
| 1922489541 | Azmat Shah | Clinical Medical Laboratory | 813 N. O'connor Road, Irving, TX 75061 | 2015-06-10 |
| 1689060261 | James Justin Walker | Specialist/Technologist | 900 O'connor Road, Irving, TX 75061 | 2015-04-10 |
| 1790171379 | Casey Elder | Specialist/Technologist | 900 North O'connor, Irving, TX 75061 | 2015-04-10 |
| 1720479900 | Jack C Lewis Jr. | Counselor | 4120 Hackmore Loop, Irving, TX 75061 | 2015-02-10 |
| 1972931186 | Linda Kottoor | Nurse Practitioner | 1800 North Britain Road, Irving, TX 75061 | 2013-10-24 |
| 1033457080 | Edel H Cruz Rosales | Hearing Instrument Specialist | 613 North O'connor Rd, Suite 29, Irving, TX 75061 | 2013-01-26 |
| 1346520293 | Tau Healing Services | Counselor | 1615 Cooper Dr., Irving, TX 75061 | 2011-08-24 |
| 1144520412 | Gibson Pharmacy | Pharmacy | 815 N. Oconnor, Irving, TX 75061 | 2010-11-02 |
| Find all providers in zip 75061 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102313 | North Texas Integrative Health & Wellness | Nurse Practitioner | 400 E Royal Ln Ste 212, Irving, TX 75039-3512 | 2020-04-04 |
| 1902344500 | Laura Christina Houillion | Nurse Practitioner | 8200 N Macarthur Blvd Ste 110, Irving, TX 75063-4889 | 2017-02-03 |
| 1881069375 | Beena George | Nurse Practitioner | 7200 Tx-hwy 161, Suite 350, Irving, TX 75039 | 2015-12-09 |
| 1376948265 | Marlea Jeter | Nurse Practitioner | 701 Tuscan Dr Ste 285, Irving, TX 75039-3971 | 2014-11-04 |
| 1992105894 | Grace Maina | Nurse Practitioner | 1104 Hidden Rdg Apt 2005, Irving, TX 75038-7973 | 2014-08-27 |
| 1801005103 | Sheila Harzman | Nurse Practitioner | 2021 N Macarthur Blvd Ste 250, Irving, TX 75061-2210 | 2007-05-22 |
| 1972016350 | Abigail Leigh Boynton | Nurse Practitioner | 3501 N Macarthur Blvd Ste 500, Irving, TX 75062-3675 | 2017-11-08 |
| 1154865921 | Stephanie Allen | Nurse Practitioner | 1111 W Airport Fwy Ste 143, Irving, TX 75062-6204 | 2016-12-13 |
| 1902359185 | Ariana Moss-fields | Nurse Practitioner | 2021 N Macarthur Blvd Ste 150, Irving, TX 75061-2210 | 2016-07-25 |
| 1437501798 | Margaret Sperry | Nurse Practitioner | 2021 N Macarthur Blvd Ste 250, Irving, TX 75061-2210 | 2016-07-11 |
| Find all providers in IRVING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.