Individual provider Active NPI

Catherine Wyatt, NP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1023702453
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1124926 Issued in TX
Practice address
3500 W 7TH St
Fort Worth, TX 76107-2532
Phone
(817) 632-5400
Fax
(817) 632-5404
NPI assigned
Jun 7, 2023
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 1124926 TX Primary

Addresses

Primary practice location

3500 W 7TH St
Fort Worth, TX 76107-2532

Mailing address

3500 W 7TH St
Fort Worth, TX 76107-2532
Phone (817) 632-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1124926TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
T Off Men's Health CurrentSince Jun 11, 2023 Accepting new patients

Locations

3500 W 7th St
Fort Worth, TX 76107
Phone (817) 632-5400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1023702453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W 7TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072532",
            "telephone_number": "817-632-5400",
            "fax_number": "817-632-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W 7TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072532",
            "telephone_number": "817-632-5400",
            "fax_number": "817-632-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "CATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1124926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.