JACEELLI HEALTHCARE (NPI# 1649811316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649811316 |
| Entity Type | Organization |
| Organization Name | JACEELLI HEALTHCARE |
| Practice Address |
213 Timberline Dr Midlothian TX 76065-5611 |
| Practice Telephone | 8322150223 |
| Mailing Telephone | 8322150223 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | JUDE N ABAM (OWNER / PRACTITIONER) |
| Authorized Official Telephone | 8322150223 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1011 N Cooper St, Arlington, TX 760115517 | 8172613121 |
| Street Address |
213 TIMBERLINE DR |
| City | MIDLOTHIAN |
| State | TX |
| Zip Code | 76065-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271375 | Methodist Hospitals of Dallas | General Acute Care Hospital | 1201 E Us Hwy 287, Midlothian, TX 76065 | 2020-06-26 |
| 1568085033 | Kyle Jason Mitchell | Social Worker | 4025 E Us 287, Midlothian, TX 76065 | 2020-05-19 |
| 1912549833 | Prestige Dermatology of Midlothian | Dermatology | 320 Hawkins Run Rd., Suite 1, Midlothian, TX 76065 | 2019-10-11 |
| 1669939336 | John Morgan Buie | Dentist | 2410 Fm 663, Suite 200, Midlothian, TX 76065 | 2019-02-28 |
| 1891264685 | Aaric Shammah Services LLC | Community/Behavioral Health | 6610 Dempsey Ln, Midlothian, TX 76065 | 2018-11-21 |
| 1952883399 | Tabitha Jayne Schwark | Occupational Therapy Assistant | 938 Mill Pond Dr., Midlothian, TX 76065 | 2018-09-01 |
| 1306348867 | Linda Susan Rose | Licensed Vocational Nurse | 4081 Walnut Ln, Midlothian, TX 76065 | 2018-03-01 |
| 1922524362 | Jacqueline C. Avalos | Counselor | 5431 Montgomery Rd., Midlothian, TX 76065 | 2017-08-17 |
| 1215322169 | Midtown 2013 Re, LLC | Assisted Living Facility | 910 S. 9th Street, Midlothian, TX 76065 | 2015-03-30 |
| 1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
| Find all providers in zip 76065 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235763871 | David H Cox | Nurse Practitioner | 14518 Farcet Dr, Midlothian, VA 23112-4571 | 2020-02-22 |
| 1811531080 | Triciah Cowden | Nurse Practitioner | 218 Canterbury Ct, Midlothian, TX 76065-1417 | 2019-10-31 |
| 1437627478 | Ht Family Care Associates LLC | Nurse Practitioner | 6629 Morning Dew Dr, Midlothian, TX 76065-7953 | 2018-11-07 |
| 1497238679 | Courtney Lynn Gold | Nurse Practitioner | 4943 Valley Crest Dr Apt 103, Midlothian, VA 23112-8608 | 2018-09-13 |
| 1396256012 | Sunny U Kim | Nurse Practitioner | 14051 St Francis Blvd Ste 2210, Midlothian, VA 23114-3203 | 2017-10-20 |
| 1669837118 | Fei Han | Nurse Practitioner | 2618 Savage View Dr, Midlothian, VA 23112-4387 | 2015-12-29 |
| 1386070902 | Erin Lee Stratton | Nurse Practitioner | 6127 Harbourside Centre Loop, Midlothian, VA 23112-2162 | 2013-09-16 |
| 1043513492 | Dana Allen Kleinschuster | Nurse Practitioner | 5595 Harbour Park Dr, Midlothian, VA 23112 | 2010-12-07 |
| 1841312683 | Maureen P Flattery | Nurse Practitioner | 1400 Groton Ct, Midlothian, VA 23114-3254 | 2007-04-04 |
| 1194814822 | Sheila Allen | Nurse Practitioner | 4431 Stout Rd, Midlothian, TX 76065-5761 | 2006-10-12 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 76065 |
Please comment or provide details below to improve the information on JACEELLI HEALTHCARE.
| 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.