Individual provider Active NPI

Lessie Harlin Jr., APRN

  • Family Nurse Practitioner
  • Grandview, TX
National Provider Identifier
1033536115
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0314276 Issued in TX
Practice address
9252 County Road 408a
Grandview, TX 76050-4181
Phone
(817) 690-1996
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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 F0314276 TX Primary

Addresses

Primary practice location

9252 County Road 408a
Grandview, TX 76050-4181

Mailing address

9252 County Road 408a
Grandview, TX 76050-4181
Phone (817) 690-1996

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
I20140715000394 TX Practitioner - Nurse Practitioner 6507081106 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Emergency Services Physician Group PAGroup PAC ID 0749447936, 71 clinicians

Practice addresses (Care Compare)

1500 S Main St
1St FL Outpatient
Ft. Worth, TX 76104-4917
Phone (817) 702-3431

Hospital & facility affiliations

  • JPS Health Network Hospital, Fort Worth, TX, CCN 450039

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.56
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0314276TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Century Integrated Partners, Inc CurrentSince Jan 25, 2021 Accepting new patients
Arze Medical PLLC CurrentSince Jul 1, 2020 Accepting new patients
Integrative Emergency Services Physician Group PA CurrentSince Oct 1, 2022 Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

8130 Meadow Rd
Dallas, TX 75231
Phone (214) 765-3300

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

4201 Stonegate Blvd
Ft Worth, TX 76109
Phone (817) 924-5440

1500 S Main St
Fl 1
Ft Worth, TX 76104
Phone (817) 702-1451

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

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

5242 Medical Dr
Rockwall, TX 75032
Phone (469) 248-5853

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1033536115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9252 COUNTY ROAD 408A",
            "city": "GRANDVIEW",
            "state": "TX",
            "postal_code": "760504181",
            "telephone_number": "817-690-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9252 COUNTY ROAD 408A",
            "city": "GRANDVIEW",
            "state": "TX",
            "postal_code": "760504181",
            "telephone_number": "817-690-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLIN",
        "first_name": "LESSIE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F0314276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandview, TX

Sources for this page

Verify at the official NPI Registry.