Roselyn Addy Jack, BSC,CFTS
NPI 1689974065ActiveIndividual· Contractor· Arlington, TX
Contractor (BSC,CFTS) in Arlington, Texas, with an NPI issued in November 2010. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1689974065 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BSC,CFTS |
| Sole proprietor | No |
| NPI issued | Nov 1, 2010 |
| Last updated in NPPES | Nov 1, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X | — | TX |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Texas, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Roselyn Addy Jack · Owner/Operator | 1128a1 | Aug 19, 2010 | Arlington, TX |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | Possible (name) | See above |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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