Individual provider Active NPI

Sovannarat Floyd, FNP

  • Family Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1013591569
Registry record updated Dec 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1034953 Issued in TX
Practice address
2698 N Galloway Ave Ste 105
Mesquite, TX 75150-6387
Phone
(469) 564-1026
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1034953 TX Primary

Addresses

Primary practice location

2698 N Galloway Ave Ste 105
Mesquite, TX 75150-6387

Mailing address

2698 N Galloway Ave Ste 105
Mesquite, TX 75150-6387
Phone (800) 218-8989

Other practice location 1

2223 S Buckner Blvd Ste 229
Dallas, TX 75227-8635
Phone (800) 218-8989

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
I20220513000388 TX Practitioner - Nurse Practitioner 7911384946 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centrum Medical Group PLLC CurrentSince Apr 23, 2024 Accepting new patients
Centrum Medical Group, PLLC Current Accepting new patients
Centrum Medical Group, PLLC CurrentSince Apr 23, 2024 Accepting new patients
Total MD Physicians Group, PLLC Family Medicine CurrentSince Apr 1, 2022 Accepting new patients

Locations

9250 NW 36th St
Ste 420
Doral, FL 33178
Phone (786) 873-1805

4700 Little Rd
Arlington, TX 76017
Phone (817) 496-0766

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

128 W Belt Line Rd
Ste 1
Cedar Hill, TX 75104
Phone (469) 482-9646

10455 N Central Expy
Ste 110
Dallas, TX 75231
Phone (214) 540-0245

3410 President George Bush Tpke
Dallas, TX 75287
Phone (972) 619-6066

2223 S Buckner Blvd
Ste 229
Dallas, TX 75227

9591 Sage Meadow Trl
Fort Worth, TX 76177
Phone (817) 857-6534

7664 McCart Ave
Fort Worth, TX 76133
Phone (817) 346-9700

5801 Golden Triangle Blvd
Ste 101
Fort Worth, TX 76244
Phone (214) 206-4706

2380 Firewheel Pkwy
Ste 100
Garland, TX 75040
Phone (972) 864-0252

2355 E Grapevine Mills Cir
Grapevine, TX 76051
Phone (972) 539-6330

2450 N Belt Line Rd
Ste 110
Irving, TX 75062
Phone (469) 550-5550

1718 Highway 287 N
Ste 100
Mansfield, TX 76063
Phone (469) 684-7830

2698 N Galloway Ave
Ste 105
Mesquite, TX 75150
Phone (239) 465-2365

234 W Campbell Rd
Richardson, TX 75080
Phone (972) 474-3221

1029 N Saginaw Blvd
Ste E3
Saginaw, TX 76179
Phone (469) 343-1399

2175 E Southlake Blvd
Ste 120
Southlake, TX 76092
Phone (817) 813-2700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733011200000",
    "number": "1013591569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2698 N GALLOWAY AVE STE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506387",
            "telephone_number": "800-218-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2698 N GALLOWAY AVE STE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506387",
            "telephone_number": "469-564-1026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2223 S Buckner Blvd Ste 229",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752278635",
            "country_code": "US",
            "telephone_number": "800-218-8989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "SOVANNARAT",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1034953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.