Active NPI
Primecare Family Practice
- Family Nurse Practitioner
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PRIMECARE FAMILY PRACTICE
- Practice address
- 1001 N Waldrop Dr Ste 801
Arlington, TX 76012-4706 - Phone
- (817) 962-0056
- Fax
- (817) 962-0057
- NPI assigned
- Mar 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maryline Ongangi, FNP
- Title
- Provider/Owner
- Phone
- (817) 962-0056
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1001 N Waldrop Dr Ste 801
Arlington, TX 76012-4706
Mailing address
1001 N Waldrop Dr Ste 801
Arlington, TX 76012-4706
Phone (817) 962-0056
Other practice location 1
715 N Fielder Rd
Arlington, TX 76012-4695
Phone (469) 646-7237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2167576 | Primecare Family Practice | Certificate of waiver | Jun 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
1001 N Waldrop Dr
Ste 801
Arlington, TX 76012
Phone (817) 274-4593
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Arlington, TX
- NPI 1215217351
-
- Family Nurse Practitioner
- Arlington, TX
- NPI 1205453958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614556800000",
"number": "1013475979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 N WALDROP DR STE 801",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760124706",
"telephone_number": "817-962-0056",
"fax_number": "817-962-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N WALDROP DR STE 801",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760124706",
"telephone_number": "817-962-0056",
"fax_number": "817-962-0057"
}
],
"practiceLocations": [
{
"address_1": "715 N Fielder Rd",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760124695",
"country_code": "US",
"telephone_number": "469-646-7237",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PRIMECARE FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-08",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A",
"authorized_official_last_name": "ONGANGI",
"authorized_official_first_name": "MARYLINE",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "817-962-0056",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.