JAIS MATHEW JACOB (NPI# 1558513663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558513663 |
| Entity Type | Individual |
| Full Name | JAIS MATHEW JACOB |
| Credential | MSN, RN, FNP-C |
| Practice Address |
2300 Valley View Ln Irving TX 75062-1721 |
| Mailing Address |
4018 Carrington Dr. Garland TX 75043 |
| Practice Telephone | 9728121091 |
| Practice Fax Number | 9728121093 |
| Mailing Telephone | 4693601164 |
| Mailing Fax Number | 9722401412 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2014-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
692194 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TX LICENSES | 692194 | 01 |
| Street Address |
2300 VALLEY VIEW LN |
| City | IRVING |
| State | TX |
| Zip Code | 75062-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256244 | Carelinx L.L.C. | Non-emergency Medical Transport (VAN) | 2300 Valley View Ln, Irving, TX 75062-1721 | 2019-07-16 |
| 1356896021 | M.e.r. Counseling & Assessments, Pllc | Community/Behavioral Health | 2300 Valley View Ln, Suite 902, Irving, TX 75062-1721 | 2016-08-23 |
| 1326592437 | Sonia Mijares | Counselor | 2300 Valley View Ln, Suite 855, Irving, TX 75062-1721 | 2016-08-05 |
| 1598136525 | Expressmeds Pharmacy LLC | Pharmacy | 2300 Valley View Ln, Suite 244, Irving, TX 75062-1721 | 2015-10-16 |
| 1700261054 | Jesuschristopher Rodriguez Renteria | Specialist/Technologist, Other | 2300 Valley View Ln, Suite 915, Irving, TX 75062-1721 | 2015-07-28 |
| 1538579230 | Scott Martindale Lpc, Pllc | Counselor | 2300 Valley View Ln, Suite 400, Irving, TX 75062-1721 | 2014-05-02 |
| 1821416363 | Expressmeds Pharmacy LLC | Pharmacy | 2300 Valley View Ln, Ste 246, Irving, TX 75062-1721 | 2014-04-02 |
| 1407293137 | Lydia Sagar | Psychologist | 2300 Valley View Ln, Ste. 330, Irving, TX 75062-1721 | 2013-06-04 |
| 1659616951 | Healing Arms Home Health Agency Inc | Home Health | 2300 Valley View Ln, Ste 232, Irving, TX 75062-1721 | 2012-11-28 |
| 1164711966 | Robin Washington-white | Counselor | 2300 Valley View Ln, Suite 338, Irving, TX 75062-1721 | 2011-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029039 | Parham Dental Team, Pllc | Dentist | 3100 N O'connor Rd, # 100, Irving, TX 75062 | 2020-10-05 |
| 1649896119 | Evolve Medical Supply & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4953 N. O'connor Rd., Suite 150, Irving, TX 75062 | 2020-06-22 |
| 1376198507 | Sanitas Medical Center of Texas Pa | Family Medicine | 3917 West Airport Freeway, Irving, TX 75062 | 2019-08-05 |
| 1295392306 | Rami Marwan El-bkaily | Optometrist | 4100 W Airport Fwy Unit 100, Irving, TX 75062 | 2019-05-23 |
| 1891352118 | Smazy Enterprise LLC | Optometrist | W. Airport Freeway, Ste 122, Irving, TX 75062 | 2019-05-22 |
| 1568029023 | Bcs Management LLC | Physical Therapist | 2642 N Belt Line Rd, Suite 2642, Irving, TX 75062 | 2019-05-21 |
| 1639633696 | In His Image Counseling Center, Pllc | Marriage & Family Therapist | 4425 W. Airport Fwy, Suite 244, Irving, TX 75062 | 2019-01-24 |
| 1316446701 | Thinh Le | Dentist | 4040 W. Northgate Dr., Irving, TX 75062 | 2018-02-12 |
| 1366972259 | Erick Marquez | Dentist | 118 E John W Carpenter Fwy, #170, Irving, TX 75062 | 2017-06-14 |
| 1740718584 | Cosmetic Companions LLC | Home Health | 320 Decker Dr Ste 100, Irving, TX 75062 | 2017-05-24 |
| Find all providers in zip 75062 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273393 | Neena Latin | Nurse Practitioner | 8003 N Macarthur Blvd Apt 1005, Irving, TX 75063-6149 | 2020-10-22 |
| 1588279533 | Antonio Brizuela | Nurse Practitioner | 536 Mills Ln, Irving, TX 75062-7569 | 2020-09-15 |
| 1275147522 | Cathleen Kerry Guiltinan | Nurse Practitioner | 1718 Shumard Oak Ln, Irving, TX 75063-8400 | 2020-09-03 |
| 1588277289 | Emily Brown | Nurse Practitioner | 4790 Regent Blvd Ste 201, Irving, TX 75063-2403 | 2020-08-24 |
| 1295346070 | Kimberly Barone | Nurse Practitioner | 655 Promenade Apt 4012, Irving, TX 75039-1213 | 2020-08-13 |
| 1972123008 | Melody Gandhi | Nurse Practitioner | 6445 Love Dr Apt 1014, Irving, TX 75039-4080 | 2020-04-18 |
| 1558995092 | Diti Joe Valooran | Nurse Practitioner | 1443 Del Mar Dr, Irving, TX 75060-4880 | 2020-02-24 |
| 1194370668 | Johnelle Suzanne Elizabeth Cooper | Nurse Practitioner | 3915 W Airport Fwy, Irving, TX 75062-5900 | 2019-08-01 |
| 1528527397 | Bosede Ehiobu | Nurse Practitioner | 3103 Denali Dr, Irving, TX 75063-0141 | 2019-03-19 |
| 1730653122 | Jennifer Nwangburuka | Nurse Practitioner | 2121 W Airport Fwy Ste 235, Irving, TX 75062-6033 | 2019-01-18 |
| 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.