Active NPI
Nicole Marie Culp, NP
- Family Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1003345
- Practice address
- 5750 W Vickery Blvd Ste 104
Fort Worth, TX 76107-7448 - Phone
- (817) 732-2878
- NPI assigned
- Jul 16, 2020
- Last updated
- Oct 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1003345 | TX | Primary |
| Nurse Practitioner | 363L00000X | 1003345 | TX |
Addresses
Primary practice location
5750 W Vickery Blvd Ste 104
Fort Worth, TX 76107-7448
Mailing address
5750 W Vickery Blvd Ste 104
Fort Worth, TX 76107-7448
Phone (817) 322-8787
Other practice location 1
2006 Fall Creek Hwy
Granbury, TX 76049-7913
Phone (817) 326-3440
Other practice location 2
431 E State Highway 114 Ste 120
Southlake, TX 76092-4416
Phone (817) 518-1112
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nculp2566447@Direct.TexasHealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5750 W Vickery Blvd
Suite 104
Fort Worth, TX 76107-7448
Phone (817) 732-2878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1003345 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Acton Medical Clinic PA | Current | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
5750 W Vickery Blvd
Ste 104
Fort Worth, TX 76107
Phone (817) 732-2878
2006 Fall Creek Hwy
Granbury, TX 76049
Phone (817) 326-3440
2331 W Shady Grove Rd
#100
Irving, TX 75060
Phone (817) 326-3440
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BABHBD
- nculp2566447@direct.texashealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Family Medicine Physician
- Granbury, TX
- NPI 1619928397
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1033727003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 W VICKERY BLVD STE 104",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077448",
"telephone_number": "817-322-8787",
"fax_number": "817-732-9315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 W VICKERY BLVD STE 104",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077448",
"telephone_number": "817-732-2878"
}
],
"practiceLocations": [
{
"address_1": "2006 Fall Creek Hwy",
"address_purpose": "LOCATION",
"city": "Granbury",
"state": "TX",
"postal_code": "760497913",
"country_code": "US",
"telephone_number": "817-326-3440",
"fax_number": "817-910-9421",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "431 E State Highway 114 Ste 120",
"address_purpose": "LOCATION",
"city": "Southlake",
"state": "TX",
"postal_code": "760924416",
"country_code": "US",
"telephone_number": "817-518-1112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULP",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-16",
"last_updated": "2024-10-10",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1003345",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1003345",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nculp2566447@Direct.TexasHealth.org",
"affiliation": "N",
"endpointDescription": "Health Information Exchange",
"address_1": "5750 W Vickery Blvd Ste 104",
"city": "Fort Worth",
"state": "TX",
"country_code": "US",
"postal_code": "761077448",
"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 Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.