Individual provider Active NPI

Anitha Tinu

  • Adult Health Nurse Practitioner
  • Bedford, TX
National Provider Identifier
1023354693
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
683975 Issued in TX
Practice address
1999 Forest Ridge Dr
Bedford, TX 76021-5724
Phone
(214) 492-3917
Fax
(972) 506-3007
NPI assigned
Dec 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 683975 TX Primary

Addresses

Primary practice location

1999 Forest Ridge Dr
Bedford, TX 76021-5724

Mailing address

1208 Cedar Valley Dr
Irving, TX 75063-4415
Phone (972) 506-3007

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
I20130402000102 TX Practitioner - Nurse Practitioner 6305081944 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Express PLLC CurrentSince Oct 18, 2024 Accepting new patients
Haider Associates LLC CurrentSince Aug 15, 2017 Accepting new patients
Royal Crown Healthcare Provider Incorporated Past Accepting new patients

Locations

1999 Forest Ridge Dr
Bedford, TX 76021
Phone (682) 738-3158

6600 Paige Rd
Ste 209
The Colony, TX 75056
Phone (888) 330-6565

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16562/brand/1/csg/1/fhir/r4
  • Direct secure messaging: anitha.tinu.1@16562.direct.athenahealth.com

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": "1356739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1023354693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 CEDAR VALLEY DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634415",
            "telephone_number": "972-506-3007",
            "fax_number": "972-506-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 FOREST RIDGE DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215724",
            "telephone_number": "214-492-3917",
            "fax_number": "972-506-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINU",
        "first_name": "ANITHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-29",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "683975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.