Individual provider Active NPI

Nicole Marie Culp, NP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1033727003
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1003345 Issued in TX
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200810000481 TX Practitioner - Nurse Practitioner 5496170326 Reassigns benefits to 2 organizations

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
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

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

LicenseStateTypeSpecialty
1003345TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2024 Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2024 Accepting new patients
Acton Medical Clinic PA CurrentSince Aug 1, 2022 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BABHBD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.