Individual provider Active NPI

Doris K Egyawan, NP

  • Family Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1003380437
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140039 Issued in TX
Practice address
1675 Republic Pkwy Ste 190a
Mesquite, TX 75150-6902
Phone
(469) 251-0711
Fax
(469) 213-3022
NPI assigned
Jan 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X AP140039 TX Primary

Addresses

Primary practice location

1675 Republic Pkwy Ste 190a
Mesquite, TX 75150-6902

Mailing address

624 Yosemite TRL
Mesquite, TX 75149-2583
Phone (469) 251-0711

Other practice location 1

624 Yosemite Trl
Mesquite, TX 75149-2583
Phone (469) 251-0711

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
I20190719002541 TX Practitioner - Nurse Practitioner 0941536502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

624 Yosemite TRL
Mesquite, TX 75149-2583
Phone (469) 251-0711

Hospital & facility affiliations

  • Bright Home Health Home health agency, Carrollton, TX, CCN 677867
  • Best Healthcare Services Home health agency, Garland, TX, CCN 679563
  • Princewill Healthcare Services Inc Home health agency, Carrollton, TX, CCN 747490
  • Carechoice Home health agency, Carrollton, TX, CCN 747092
  • Goodwill Healthcare Services Home health agency, Plano, TX, CCN 747291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP140039TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Higher Ground Services LLC Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Higher Ground Services LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

1675 Republic Pkwy
Ste 190A
Mesquite, TX 75150
Phone (469) 251-0711

Organizations & group practices 2

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 5

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": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1003380437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 YOSEMITE TRL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492583",
            "telephone_number": "469-251-0711",
            "fax_number": "469-213-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 REPUBLIC PKWY STE 190A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506902",
            "telephone_number": "469-251-0711",
            "fax_number": "469-213-3022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 Yosemite Trl",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751492583",
            "country_code": "US",
            "telephone_number": "469-251-0711",
            "fax_number": "469-213-3022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGYAWAN",
        "first_name": "DORIS",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-18",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.