Individual provider Active NPI

Heather Weatherspoon

  • Non-emergency Medical Transport (VAN)
  • Fort Worth, TX
National Provider Identifier
1023896842
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
4455 Camp Bowie Blvd
Ft Worth, TX 76107-3864
Phone
(817) 803-5045
Fax
(817) 549-5376
NPI assigned
Sep 21, 2023
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X TX Primary

Addresses

Primary practice location

4455 Camp Bowie Blvd
Ft Worth, TX 76107-3864

Mailing address

1860 E Northside Dr Apt 2225
Ft Worth, TX 76106-8426
Phone (817) 803-5045

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecords.sanford.html

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adequate Angels Transportation LLC Non-Emergency Medical Transport (Van) CurrentSince Oct 1, 2023 Accepting new patients

Locations

4455 Camp Bowie Blvd
Ft Worth, TX 76107
Phone (817) 735-1688

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": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1023896842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 E NORTHSIDE DR APT 2225",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761068426",
            "telephone_number": "817-803-5045",
            "fax_number": "817-549-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 CAMP BOWIE BLVD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761073864",
            "telephone_number": "817-803-5045",
            "fax_number": "817-549-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERSPOON",
        "first_name": "HEATHER",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "4455 Camp Bowie Blvd",
            "city": "Ft Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761073864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 28, 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.