Individual provider Active NPI

Iliza Shrestha

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1013603067
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1115161 Issued in TX
Practice address
9191 Kyser Way Ste 205
Frisco, TX 75033-2783
Phone
(972) 643-8727
NPI assigned
Apr 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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 1115161 TX Primary

Addresses

Primary practice location

9191 Kyser Way Ste 205
Frisco, TX 75033-2783

Mailing address

3560 E Park Blvd
Plano, TX 75074-3111

Other practice location 1

3560 E Park Blvd
Plano, TX 75074-3111
Phone (972) 424-0579

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
I20230905001570 TX Practitioner - Nurse Practitioner 9133582422 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Wellness Clinics PLLC CurrentSince Nov 22, 2023 Accepting new patients
Southern Endocrinology CurrentSince Sep 9, 2024 Accepting new patients
Q Day Walk in Clinic and Spa, LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

2833 Eldorado Pkwy
Ste 307
Frisco, TX 75033
Phone (972) 292-0300

2601 Little Elm Pkwy
Ste 1204
Little Elm, TX 75068
Phone (972) 292-0300

3560 E Park Blvd
Plano, TX 75074
Phone (972) 424-0579

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGIACD/Endpoint/HGIACD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGFACD/Endpoint/IGFACD

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.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1013603067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 E PARK BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 KYSER WAY STE 205",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750332783",
            "telephone_number": "972-643-8727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3560 E Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750743111",
            "country_code": "US",
            "telephone_number": "972-424-0579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRESTHA",
        "first_name": "ILIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1115161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.