BLEXY JIGI ABRAHAM (NPI# 1124574157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124574157 |
| Entity Type | Individual |
| Full Name | BLEXY JIGI ABRAHAM |
| Other Name | BLEXY SUSAN JOSE |
| Credential | APRN |
| Practice Address |
2942 S Buckner Blvd Dallas TX 75227-6907 |
| Practice Telephone | 2143811187 |
| Practice Fax Number | 2143817213 |
| Mailing Telephone | 2143811187 |
| Mailing Fax Number | 2143817213 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2019-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP131743 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP131743 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 384319501 | 05 |
| Street Address |
2942 S BUCKNER BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75227-6907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295700227 | Mark Albert Heaver | Family Medicine | 2942 S Buckner Blvd, Dallas, TX 75227-6907 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760855464 | Narges S Afkami | Chiropractor | 4808 S. Buckner Blvd., Dallas, TX 75227 | 2015-11-04 |
| 1780902809 | Zachary Thomas Ripp | Obstetrics & Gynecology | 2959 S. Buckner Ste 100, Mi Doctor/ Women's Specialty Center, Dallas, TX 75227 | 2010-05-13 |
| 1386884922 | Valentino L Gonzales | Counselor | 5409 Jim Miller Rd, Suite 203a, Dallas, TX 75227 | 2009-02-23 |
| 1093951733 | Kofo A Aderemi | Durable Medical Equipment & Medical Supplies | 4617 S. Buckner Blvd., Suite J, Dallas, TX 75227 | 2008-12-31 |
| 1619146727 | Faith Assisted Living, LLC | Assisted Living Facility | 2155 Gaylord Dr, Dallas, TX 75227 | 2008-02-22 |
| 1619159241 | Epic Business Solutions | Durable Medical Equipment & Medical Supplies | 4801 South Buckner Blvd., Suite 1300, Dallas, TX 75227 | 2007-12-05 |
| 1356553838 | Cox Adult Foster Home | Custodial Care Facility | 8717 Blossom Lane, Dallas, TX 75227 | 2007-05-04 |
| 1386866903 | Injury Assistance C Enters, Inc. | Chiropractor | 2514 S. Buckner Blvd., Dallas, TX 75227 | 2007-05-03 |
| 1083836613 | Fiesta Pharmacy | Pharmacist | 2947 S Buckner Suite 500, Dallas, TX 75227 | 2007-05-03 |
| 1720164346 | Joe R Gosham | Dentist | 2222 Prairie Creek Rd, Dallas, TX 75227 | 2006-10-27 |
| Find all providers in zip 75227 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063969459 | Nrs, Inc | Nurse Practitioner | 1705 Martin Luther King Jr Blvd Ste C, Dallas, TX 75215-3223 | 2016-09-02 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1952728636 | Derrick Micah Love-jones | Nurse Practitioner | 1705 Martin Luther King Jr Blvd, Suite C, Dallas, TX 75215-3222 | 2014-03-19 |
| 1932719606 | Jenny Garner Tharp | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-08-06 |
| 1386272466 | Asha Y Dwumfour-poku | Nurse Practitioner | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-04-01 |
| 1689211963 | Callie Lauren Harris | Nurse Practitioner | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2019-12-05 |
| 1891332656 | Sharonda Ransom | Nurse Practitioner | 1411 N Beckley Ave Ste 352, Dallas, TX 75203-1270 | 2019-11-28 |
| 1740824473 | Sandra Carranza | Nurse Practitioner | 7777 Forest Ln Ste C650, Dallas, TX 75230-6867 | 2019-11-06 |
| 1700348836 | Kathryn Nicole Aubuchon | Nurse Practitioner | 3417 Gaston Ave Ste 1100, Dallas, TX 75246-2037 | 2019-04-06 |
| 1437610334 | Victorian Healthcare | Nurse Practitioner | 2602 Martin Luther King Jr Blvd, Dallas, TX 75215-2309 | 2019-03-25 |
| Find all providers in DALLAS | ||||
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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.