Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy J Liesveld, DC, FNP-C

Individual provider Chiropractor · NPI 1417287046

Jeremy J Liesveld, DC, FNP-C is a Nurse Practitioner in Irving, Texas. Qualified in 2015, 11 years ago. Practices with Odette Louise Campbell, MD, PA, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2010
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

6161 N State Highway 161
Irving, TX 75038-2220
Phone: (972) 258-7499
Fax: (972) 257-0897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP128486 (TX)
Chiropractor Taxonomy 111N00000X · Licence 11339 (TX)

Record details

NPI number1417287046
Entity typeIndividual (Type 1)
GenderMale
Credentials DC , FNP-C
Sole proprietorNo
NPI enumeratedJanuary 4, 2010
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Odette Louise Campbell, Md, Pa — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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