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

Mrs. Thresiamma Idichandy, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1063422319

Mrs. Thresiamma Idichandy, NURSEPRACTITIONER is a Nurse Practitioner in Richardson, Texas. Qualified in 2000, 26 years ago. Licensed in Michigan and Texas.

Years since qualifying
26
Licensed in
MI, TX
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

234 W Campbell Rd
Richardson, TX 75080-3512
Phone: (972) 474-3221
Fax: (512) 782-9316
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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 1207120 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704171067 (MI)

Record details

NPI number1063422319
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Richardson