Individual provider Active NPI

Danielle Purcell Lopez, PA

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1003351057
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10899 Issued in TX
Practice address
2332 Beverly Hills Dr
Fort Worth, TX 76114-1756
Phone
(817) 378-0855
Fax
(817) 378-0861
NPI assigned
Dec 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10899 TX Primary

Addresses

Primary practice location

2332 Beverly Hills Dr
Fort Worth, TX 76114-1756

Mailing address

2332 Beverly Hills Dr
Fort Worth, TX 76114-1756
Phone (817) 378-0855

Other names 1

  • Danielle Purcell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dlopez905736@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170411000347 TX Practitioner - Physician Assistant 8325324155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2800 E Hwy 114 220
Baylor Scott and White Primary Care Trophy CL
Trophy Club, TX 76262-5307
Phone (817) 912-8900

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10899TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Nov 18, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 18, 2021 Accepting new patients

Locations

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

2800 E Highway 114
Ste 220
Trophy Club, TX 76262
Phone (817) 430-3900

Interoperability endpoints

  • FHIR API: https://epicproxy.et1126.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: dlopez863216@direct.sw.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1003351057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 BEVERLY HILLS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761141756",
            "telephone_number": "817-378-0855",
            "fax_number": "817-378-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 BEVERLY HILLS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761141756",
            "telephone_number": "817-378-0855",
            "fax_number": "817-378-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DANIELLE",
        "middle_name": "PURCELL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlopez905736@direct.sw.org",
            "affiliation": "N",
            "address_1": "2800 E Highway 114 Ste 220",
            "city": "Trophy Club",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762625307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "PURCELL",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.