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

Lisha Jacob

Individual provider General Practice Registered Nurse · NPI 1194440222

Lisha Jacob is a Certified Registered Nurse Anesthetist (CRNA) in Dallas, Texas. Graduated from University of Texas Medical School at Houston in 2016, 10 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Trained at
University of Texas Medical School at Houston
Licensed in
TX
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone: (214) 645-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 525 N Wolfe St, Baltimore, MD 21205-2110 — (410) 955-4766

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1213293 (TX)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 916213 (TX)

Record details

NPI number1194440222
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 11, 2022
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address2049 Lake Bend Dr, Irving, TX 75060-7743

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dallas