JACQUELINE G. ABRAHAM (NPI# 1194292219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194292219 |
| Entity Type | Individual |
| Full Name | JACQUELINE G. ABRAHAM |
| Practice Address |
9517 Fairway Vista Dr Rowlett TX 75089 |
| Practice Telephone | 2145567169 |
| Mailing Telephone | 2145567169 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407378433 | Jacqueline Abraham | Nurse Anesthetist, Certified Registered | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2017-07-11 |
| 1144589797 | Jacqueline Abraham | Dentist | 45 Route 25a, Setauket, NY 11733-2821 | 2012-05-16 |
| Street Address |
9517 FAIRWAY VISTA DR |
| City | ROWLETT |
| State | TX |
| Zip Code | 75089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022434 | Rowlett Tiny Teeth, Pllc | Dentist | 5404 Kenwood Drive, Rowlett, TX 75089 | 2020-04-24 |
| 1487121810 | Eglorious, Inc. | Registered Nurse | 7314 Westhaven Dr., Rowlett, TX 75089 | 2018-10-24 |
| 1164901252 | Amber Saenz | Physical Therapist | 6706 Bluebell Dr, Rowlett, TX 75089 | 2018-08-09 |
| 1538544937 | Dallas Specialty Pharmacy,llc | Pharmacy | 5501 Gordon Smith, Suite 170, Rowlett, TX 75089 | 2015-07-27 |
| 1568782274 | Alix H. Sanders Jr. | Dentist | 7100 Rowlett Rd., Rowlett, TX 75089 | 2010-06-03 |
| 1174661318 | Anita Gaye Henrichson | Counselor | 9709 Peachtree Lane, Rowlett, TX 75089 | 2007-02-01 |
| 1689685133 | Mark Wayne Boren | Dentist | 7100 Rowlett Rd, Rowlett, TX 75089 | 2006-08-10 |
| 1750696803 | Care With Honor LLC | Community/Behavioral Health | 6114 San Marino Ct, Rowlett, TX 75089-0756 | 2010-08-13 |
| 1740423193 | A Time To Heal Health Care Services LLC | Home Health | 2713 Planetree Dr, Rowlett, TX 75089-1615 | 2009-04-15 |
| 1750816583 | Brandi Helm | Speech-Language Pathologist | 2805 Planetree Dr, Rowlett, TX 75089-1616 | 2017-04-30 |
| Find all providers in zip 75089 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356827430 | Bethany Kate Robertson | Physician Assistant | 4504 Southridge Dr, Rowlett, TX 75088-5083 | 2018-07-12 |
| 1629510342 | Ashley B. Dressen | Physician Assistant | 6900 Scenic Dr Ste 101, Rowlett, TX 75088-2695 | 2016-11-11 |
| 1003127317 | Rhonda G Gelbar | Physician Assistant | 3214 Suzanne Dr, Rowlett, TX 75088-5980 | 2010-07-01 |
| 1992944821 | Emmanuel Ositadinma Nwadeyi | Physician Assistant | 10420 Huffines Dr, Rowlett, TX 75089-8569 | 2009-02-17 |
| 1659448793 | Amy Andujar | Physician Assistant | 9500 Lakeview Parkway, Suite 100, Rowlett, TX 75088-4560 | 2006-11-30 |
| 1740652700 | Fortress Emergency Physicians, Pplc | Physician Assistant | 6800 Scenic Dr, Rowlett, TX 75088-4552 | 2015-10-29 |
| 1205230299 | Britney T. Cornett | Physician Assistant | 7501 Lakeview Pkwy Ste 130, Rowlett, TX 75088-9324 | 2014-10-20 |
| 1851619605 | Ashley R Goodall | Physician Assistant | 5501 Gordon Smith Dr Ste 500, Rowlett, TX 75089-3209 | 2010-05-04 |
| 1629145362 | Ray Hubbard Emergency Physicians Pllc | Physician Assistant | 6800 Scenic Dr, Rowlett, TX 75088-4552 | 2006-11-29 |
| 1346315736 | Michael Steven Reid | Physician Assistant | 6800 Scenic Dr, Rowlett, TX 75088-4552 | 2006-11-21 |
| Find all providers in ROWLETT | ||||
Please comment or provide details below to improve the information on JACQUELINE G. ABRAHAM.
| 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.