Advanced NPS of North Texas LLC
Organization Active NPI Nurse Practitioner · Farmers Branch, TX
NPI 1043944952 · NPPES record last updated Jan 22, 2024
Key facts
- NPI
- 1043944952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 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
- Organization subpart
- No
Authorized official
- Name
- Kaitlin Blalock, NP
- Title
- Provider
- Phone
- (903) 563-4146
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220810001329 | TX | Part B Supplier - Clinic/Group Practice | 5395128219 |
Receives reassigned benefits from 1 practitioner Practice locations: Dallas, TX; Farmers Branch, TX; Lancaster, TX; Sherman, TX |
National Provider Directory
Locations
14902 Preston Rd
Ste 404-813
Dallas, TX 75254
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
7 Medical Pkwy
Farmers Branch, TX 75234-7829
Mailing address
14902 Preston Rd Ste 404-813
Dallas, TX 75254-9105
Phone (903) 563-4146
Other providers in Farmers Branch, TX
- Shawna Rae Adams
- Adas Yp LLC
- Addicks Medical Supply LLC
- Adelia Compounding LLC
- Adetomilola Adeyemi
- Advanced Osteocare Center, L.L.C.
- Affluens Home Health LLC
- Waffiyah Ali Afridi
- Nosawema Evans Agho
- Ahavah Healthcare LLC
All providers in Farmers Branch, TX · Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.