Advanced NPS of North Texas LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ADVANCED NPS OF NORTH TEXAS LLC

Practice address

7 Medical Pkwy
Farmers Branch, TX 75234-7829

Phone

(903) 563-4146

NPI assigned

Jul 15, 2022

Last updated

Jan 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaitlin Blalock, NPNPI 1841870649

Title

Provider

Phone

(903) 563-4146

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaitlin Janann Blalock, NP

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1841870649
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1043944952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14902 PRESTON RD STE 404-813",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549105",
            "telephone_number": "903-563-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MEDICAL PKWY",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347829",
            "telephone_number": "903-563-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NPS OF NORTH TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "BLALOCK",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "903-563-4146",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.