Individual provider Active NPI

Rhoda Gwan Stevens, FNP-BC

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1033467477
Registry record updated Oct 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
822684 Issued in TX
Practice address
6801 McCart Ave Ste 109
Fort Worth, TX 76133-6378
Phone
(817) 612-1551
Fax
(817) 720-9989
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 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 822684 TX Primary

Addresses

Primary practice location

6801 McCart Ave Ste 109
Fort Worth, TX 76133-6378

Mailing address

6080 S Hulen Street, Ste 360
PMB 198
Fort Worth, TX 76132-4810
Phone (817) 612-1551

Other names 1

  • Rhoda Ashie Gwan Former name

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
I20121017000954 TX Practitioner - Nurse Practitioner 3072763556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6801 McCart Ave
Suite 109
Fort Worth, TX 76133-6378
Phone (817) 612-1551

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc CurrentSince May 1, 2016 Accepting new patients
Superior Life Health Center Inc Family Current Accepting new patients
Eren Healthcare Solutions LLC Family PastSince Mar 1, 2020 Accepting new patients

Locations

6801 McCart Ave
Ste 109
Fort Worth, TX 76133
Phone (469) 626-8195

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

6080 S Hulen St
Ste 360
Ft Worth, TX 76132
Phone (817) 908-1218

Organizations & group practices 4

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696636800000",
    "number": "1033467477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 S HULEN STREET, STE 360",
            "address_2": "PMB 198",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324810",
            "telephone_number": "817-612-1551",
            "fax_number": "817-720-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MCCART AVE STE 109",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336378",
            "telephone_number": "817-612-1551",
            "fax_number": "817-720-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "RHODA",
        "middle_name": "GWAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2023-10-07",
        "certification_date": "2023-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "822684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHODA",
            "last_name": "GWAN",
            "middle_name": "ASHIE",
            "credential": "APRN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.