Individual provider Active NPI

Nikita Greenwood, FNP

  • Family Nurse Practitioner
  • Southlake, TX
National Provider Identifier
1023897097
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1143070 Issued in TX
Practice address
1920 E State Highway 114
Southlake, TX 76092-6510
Phone
(817) 442-5698
NPI assigned
Sep 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 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 1143070 TX Primary

Addresses

Primary practice location

1920 E State Highway 114
Southlake, TX 76092-6510

Mailing address

6408 High Country TRL
Arlington, TX 76016-5518
Phone (214) 392-7348

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
I20250612000648 TX Practitioner - Nurse Practitioner 3971013475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11801 S Fwy
Suite 101
Burleson, TX 76028-7021
Phone (817) 759-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology-Hematology Consultants PA CurrentSince Jun 2, 2025 Accepting new patients
Oncology Hematology Consultants, PA CurrentSince Jun 2, 2025 Accepting new patients
Regional Physician Services of Texas, P.a. CurrentSince Jul 1, 2025 Accepting new patients

Locations

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

909 Southeast Pkwy
Ste 104
Azle, TX 76020
Phone (817) 406-0170

11801 South Fwy
Ste 101
Burleson, TX 76028
Phone (817) 717-5691

6100 Harris Pkwy
Ste 235
Fort Worth, TX 76132
Phone (817) 263-7200

800 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 333-0133

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

223 S Morgan St
Granbury, TX 76048
Phone (817) 573-7153

7415 Las Colinas Blvd
Irving, TX 75063
Phone (248) 760-3339

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

907 Foster Ln
Weatherford, TX 76086
Phone (817) 596-0637

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1023897097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 HIGH COUNTRY TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760165518",
            "telephone_number": "214-392-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E STATE HIGHWAY 114",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926510",
            "telephone_number": "817-442-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "NIKITA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-12-04",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1143070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.